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Contact Information

SHANNON K EVANS
4123 DUTCHMANS LN STE 301
LOUISVILLE, KY40207-4721
 Phone: 802-847-2700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SHANNON K EVANS · (Female)

NPI Number 1487953675
Status Active
Credentials
Entity Individual
Enumeration date 03/28/2011
Last updated 11/11/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • KY License # 50218
  • VT License # 042.0012902
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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