Individual
SHANTEL J. DEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1720 NICHOLASVILLE RD, SUITE 500, LEXINGTON, KY 40503-1404
(859) 278-1114
(859) 278-3774
Mailing address
1720 NICHOLASVILLE RD, SUITE 500, LEXINGTON, KY 40503-1404
(859) 278-1114
(859) 278-3774
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
KY-0492
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0492
STATE LICENSE
KY
Enumeration date
09/30/2008
Last updated
09/30/2008
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