NPI 1164601886
Shannon Charles, BA
Practice location
- Address
- 40 Greenhouse Ln Rt 321 Auxier Road, Prestonsburg, KY 41653-9180
- Phone
- (606) 886-6815
- Fax
- (606) 886-9878
- Mailing address
- 104 S Front Ave, Prestonsburg, KY 41653-1614
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1164601886
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Oct 2007
- Record last updated
- 30 Oct 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.