Individual
SHANNON SHACKLETTE KEMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3340 CLAYS MILL RD, STE 2, LEXINGTON, KY 40803
(859) 224-3200
(859) 219-1727
Mailing address
3340 CLAYS MILL RD, STE 2, LEXINGTON, KY 40503-3488
(859) 224-3200
(859) 219-1727
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7372
KY
Other
Enumeration date
04/07/2006
Last updated
03/24/2015
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