Individual
SHANNON PHILPOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TCM
Contact information
Practice address
1200 MASTER ST, CORBIN, KY 40701-2502
(606) 280-4000
(833) 222-3797
Mailing address
1200 MASTER ST, CORBIN, KY 40701-2502
(606) 280-4000
(833) 222-3797
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
P98113750
KY
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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