Individual
SHANNON GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2050 VERSAILLES RD, LEXINGTON, KY 40504-1405
(859) 257-3573
(859) 323-0096
Mailing address
2050 VERSAILLES RD, LEXINGTON, KY 40504-1405
(859) 257-4890
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
05885
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2020
Last updated
07/24/2024
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