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Individual

SHANNON BURKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN, LD

Contact information

Practice address
1585 3RD ST, FORT JOHNSON, LA 71459-5102
(937) 418-3275
Mailing address
200 BRULE ST BLDG 853, FORT KNOX, KY 40121-6100

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5942
OH

Other

Enumeration date
12/20/2017
Last updated
03/31/2026
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