Individual
MS. JEANINE SHAKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
1024 N MAIN ST, NICHOLASVILLE, KY 40356-2311
(859) 885-2314
Mailing address
608 HUGGING BEAR DR, LEXINGTON, KY 40509-4390
(859) 963-8514
(859) 885-5130
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
109935
KY
Other
Enumeration date
07/30/2022
Last updated
07/30/2022
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