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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. JEANINE SHAKELFORD, LDO

Active

MS. JEANINE SHAKELFORD, LDO is a Optician, Dispensing healthcare provider located in NICHOLASVILLE, Kentucky. NPI 1063148104 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · NICHOLASVILLE, KY

Registration Details

NPI Number
1063148104
Provider Type
Individual
Gender
Female
NPI Issued
Jul 30, 2022 (4.2457160867157 yrs)
Last Updated
Jul 30, 2022
License
109935 (KY)

Practice Information

Address
1024 N MAIN ST
NICHOLASVILLE, KY, 403562311
Browse KY providers · Browse ZIP 40356
Phone
8598852314
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in NICHOLASVILLE, KY

Name Credential NPI
SHARON YVONNE TAYLOR LDO 1245968361
GREGORY DAVIS — 1447086434
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.