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
Phone: (205) 312-0001
Fax: (205) 312-0002
Website:
Health care specialties
| Specialty | Code | License # | 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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