Kelley Lynn Shannon, PT is a
Physical Therapist based in Walnut Cove, North Carolina. Kelley Lynn Shannon is licensed to practice in North Carolina (license number 2931) and her current practice location is
511 Windmill St, Walnut Cove, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(336) 591-4353.
NPI number for Kelley Lynn Shannon is 1316219504 and her current mailing address is 511 Windmill St, Walnut Cove, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316219504.
Healthcare Provider's Profile
Full Name | Kelley Lynn Shannon |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 511 Windmill St, Walnut Cove, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316219504
- Provider Enumeration Date: 02/02/2012
- Last Update Date: 02/02/2012
Medical Identifiers
Medical identifiers for Kelley Lynn Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316219504 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 2931 (North Carolina) | 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. Kelley Lynn 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 |
Kelley Lynn Shannon, PT 511 Windmill St, Walnut Cove, NC 27052-7706 Ph: (336) 591-4353 | Kelley Lynn Shannon, PT 511 Windmill St, Walnut Cove, NC 27052-7706 Ph: (336) 591-4353 |
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