Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY EVETTE SHANNON, RPH
Active Sole ProprietorKIMBERLY EVETTE SHANNON, RPH is a Assisted Living Facility healthcare provider located in BRADENTON, Florida. NPI 1700160694 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · BRADENTON, FL
Registration Details
- NPI Number
- 1700160694
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 10, 2011 (14.832115361309 yrs)
- Last Updated
- Dec 9, 2024
- License
-
PS30747 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2817 2ND STREET EASTBRADENTON, FL, 34208Browse FL providers · Browse ZIP 34208
- Phone
- 9417827024
- Fax
- 8333742750
- Primary Specialty
-
Assisted Living Facility
311ZA0620X
- Additional Specialty
- Assisted Living Facility
Other Assisted Living Facility Providers in BRADENTON, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. DAWN RAE MACK | — | 1659674893 |
| EVADNEY E WALKER-AVOINE | — | 1780014027 |
| EUGENIA DELPHINE MAYS | ADULT FAMILY CARE HO | 1427471507 |
| CARLA HENDERSON | — | 1336685106 |
| DARLEEN ALLEN | — | 1194379081 |
| RONALD ABNER DIEUDONNE | — | 1760032460 |
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.