Individual
SHANNA K CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED DIETICIAN
Contact information
Practice address
225 PHYSICIANS PARK STE 304, POPLAR BLUFF, MO 63901-3930
(573) 727-5500
(573) 399-2646
Mailing address
110 S 2ND ST, ELLINGTON, MO 63638-9400
(573) 663-2313
(573) 663-2441
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001000001
MO
Other
Enumeration date
10/05/2006
Last updated
06/16/2026
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