Individual
KEVIN B SHOEMAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.N., MSOM, LAC.
Contact information
Practice address
114 W CAPITOL DR, HARTLAND, WI 53029-2042
(262) 563-8022
Mailing address
114 W CAPITOL DR, HARTLAND, WI 53029-2042
(262) 563-8022
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
692-055
WI
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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