Individual
KERRI A SHOENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6881 S YOSEMITE ST, CENTENNIAL, CO 80112-1406
(303) 393-8378
(720) 872-4902
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1846
CO
152WC0802X
Corneal and Contact Management Optometrist
1846
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1846
STATE LICENSE
CO
Enumeration date
08/21/2006
Last updated
03/07/2023
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