Provider Demographics
NPI:1821413949
Name:KNOX, SHEILA KELLY (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:KELLY
Last Name:KNOX
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 LINN DR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44108-2755
Mailing Address - Country:US
Mailing Address - Phone:216-268-8103
Mailing Address - Fax:216-268-6954
Practice Address - Street 1:800 LINN DR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44108-2755
Practice Address - Country:US
Practice Address - Phone:216-268-8103
Practice Address - Fax:216-268-6954
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-26
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH134391163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse