Shannon K Evans
Pediatrics, Neonatal-Perinatal Medicine in Louisville, Kentucky
1487953675- Practice location
- 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721
- Phone
- 802-847-2700
- Fax
- —
- Last updated
- November 11, 2024
Shannon Kelly Evans is a Pediatrics, Neonatal-Perinatal Medicine based in Louisville, KY. Shannon Kelly Evans practices in Louisville, KY. The NPI Number for Shannon Kelly Evans is 1487953675 and holds a License No. 042.0012902 (VT). The current practice location address for Shannon Kelly Evans is 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721 and can be reached out via phone at 802-847-2700.
Provider Profile Details
- NPI Number
- 1487953675
- Provider Name
- Shannon Kelly Evans
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721
- Phone Number
- 802-847-2700
- Primary Taxonomy
- Pediatrics, Neonatal-Perinatal Medicine · 2080N0001X
- Sole Proprietor
- No
- Other Names
- Shannon Kelly, MD (Former Name)
- Provider Enumeration Date
- March 28, 2011
- Last Update Date
- November 11, 2024
- Certification Date
- November 11, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4123 Dutchmans Ln Ste 301
Louisville, KY 40207-4721 - City
- Louisville
- State
- Kentucky
- Zip
- 40207-4721
- Phone Number
- 802-847-2700
Provider Business Mailing Address Details
- Address
- 111 Colchester Ave
Burlington, VT 05401-1473 - City
- Burlington
- State
- VT
- Zip
- 05401-1473
- Phone Number
- 802-847-2700
License Information
- License Number (1)
- 042.0012902
- License State (1)
- VT
- Taxonomy (1)
- Pediatrics · 208000000X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (3)
- 50218
- License State (3)
- KY
- Taxonomy (3)
- Pediatrics, Neonatal-Perinatal Medicine · 2080N0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shannon K Evans?
The NPI number of Shannon K Evans is 1487953675. It was assigned on March 28, 2011 and is currently active in the NPPES registry.
What is the specialty of Shannon K Evans?
Shannon K Evans is registered under the primary taxonomy Pediatrics, Neonatal-Perinatal Medicine (code 2080N0001X), licensed in VT under license number 042.0012902.
Where does Shannon K Evans practice?
The practice location is 4123 Dutchmans Ln Ste 301, Louisville, KY 40207-4721. The office can be reached at 802-847-2700 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487953675 directly on the NPPES registry website.