Kimberly Evette Shannon, RPH is a
Custodial Care Facility - Adult Care Home based in Bradenton, Florida. Kimberly Evette Shannon is licensed to practice in * (Not Available) (license number ) and her current practice location is
2817 2nd Street East, Bradenton, Florida. She can be reached at her office (for appointments etc.) via phone at
(941) 782-7024.
NPI number for Kimberly Evette Shannon is 1700160694 and her current mailing address is 930 8th Ave W, Palmetto, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700160694.
Healthcare Provider's Profile
| Full Name | Kimberly Evette Shannon |
|---|
| Gender | Female |
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| Speciality | Custodial Care Facility - Adult Care Home |
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| Location | 2817 2nd Street East, Bradenton, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700160694
- Provider Enumeration Date: 10/10/2011
- Last Update Date: 12/09/2024
Medical Identifiers
Medical identifiers for Kimberly Evette Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700160694 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | PS30747 (Florida) | Secondary |
| 311ZA0620X | Custodial Care Facility - Adult Care Home | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Evette Shannon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kimberly Evette Shannon, RPH
930 8th Ave W,
Palmetto, FL 34221-4712
Ph: (941) 729-5250 | Kimberly Evette Shannon, RPH
2817 2nd Street East,
Bradenton, FL 34208
Ph: (941) 782-7024 |
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