Shannon, Kimonnie

Shannon, Kimonnie is an individual health care provider with primary practice located at 1141 Jasper Dennis Rd , Clanton AL 35045-3783. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Shannon, Kimonnie can be contacted via phone (205) 312-0001.

Contact Information

Primary practice address
1141 Jasper Dennis Rd Clanton AL 35045-3783
Fax: (205) 312-0002
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3255-03 Mississippi
Dental Providers / General Practice 1223G0001X 5483 Alabama

Profile Details

NPI number 1649243460
LBN Legal business name Shannon, Kimonnie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Apr 25th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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