Individual
DR. SHANNON KAY CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4505 WOODGATE DR, JANESVILLE, WI 53546-8203
(608) 754-1234
(608) 754-9494
Mailing address
4505 WOODGATE DR, JANESVILLE, WI 53546-8203
(608) 754-1234
(608) 754-9494
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3216-012
WI
Other
Enumeration date
10/18/2006
Last updated
07/09/2007
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