Individual provider · Type 1 NPI
Kimberly Evette Shannon, RPH
Adult Care Home Facility · Bradenton, FL
NPI number
1700160694
Active
Practice location
2817 2nd Street East
Bradenton, FL 34208
Fax (833) 374-2750
Mailing address
930 8th Ave W
Palmetto, FL 34221-4712
Other practice locations
- 930 8th Ave W, Palmetto, FL 34221-4712 · (941) 729-5250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist | 183500000X | PS30747 (FL) |
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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About NPI 1700160694
Kimberly Evette Shannon, RPH's National Provider Identifier is 1700160694, issued on Oct 10, 2011. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Bradenton, FL. The record was last updated on Dec 9, 2024.