Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shannon Waldon, CSA

Individual provider Surgical Technologist · NPI 1336555051

Shannon Waldon, CSA is a Surgical Technologist in Herrin, Illinois. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2014

Practice location Address checks out

510 Lincoln Dr
Herrin, IL 62948-6334
Phone: (618) 997-6800
Fax: (618) 997-1187
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X · Licence 4393 (KY)

Record details

NPI number1336555051
Entity typeIndividual (Type 1)
GenderFemale
Credentials CSA
Sole proprietorYes
NPI enumeratedJuly 2, 2014
Last updated in NPPESSeptember 9, 2014
Mailing address4787 Alben Barkley Dr, Paducah, KY 42001-6789