DR. SHANNON HOLER KELSO


Address: 2156 Harden Blvd., Lakeland, FL 33803
Phone: 8636037400

DR. SHANNON HOLER KELSO (NPI# 1407164502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407164502
Entity Type Individual
Full Name DR. SHANNON HOLER KELSO
Other Name SHANNON FRANCES HOLER
Credential DMD
Practice Address 2156 Harden Blvd.
Lakeland
FL 33803
Practice Telephone 8636037400
Practice Fax Number 8636037411
Mailing Telephone 8636037400
Mailing Fax Number 8636037411
Enumeration Date 2010-09-23
Last Update Date 2019-03-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist 59793 CA Dental Providers
Y 1223G0001X Dentist
Specialization: General Practice
DN20919 FL Dental Providers

Other Providers SHANNON KELSO

NPI Name Taxonomy Address Enumeration
1346893914 Shannon Kelso Nurse Practitioner 658 Kenilworth Dr Ste 206, Towson, MD 21204-2334 2019-07-22

Office Location

Street Address 2156 HARDEN BLVD.
City LAKELAND
State FL
Zip Code 33803

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861964819 Steven P Agelidis Counselor 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 2018-12-31
1902316201 Kesara Mai Ngam Massage Therapist 117 West Oak Drive, Lakeland, FL 33803 2017-10-02
1396260618 Suncoast Behavioral Solutions, LLC Behavioral Analyst 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 2017-08-08
1316484413 Daniel Jacob Stahl Behavior Technician 145 East Edgewood Drive, Lakeland, FL 33803 2017-01-26
1780037002 Shelley Stettinius Behavioral Analyst 145 East Edgewood Dr, Lakeland, FL 33803 2016-07-21
1396106654 Highlands Occupational Therapy, Inc Occupational Therapist 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 2016-03-15
1003289570 Jayna Dinsmore Physical Therapy Assistant 321 Imperial Blvd, D38, Lakeland, FL 33803 2015-11-05
1093187429 Healthstat Wellness Polk-lakeland Preventive Medicine 3215 Winter Lake Road, Lakeland, FL 33803 2015-10-26
1962812545 Florida Presbyterian Homes, Inc Nursing Facility/Intermediate Care Facility 901 Lakeside Avenue, Lakeland, FL 33803 2014-05-05
1710316336 Trinity Endodontics Health Maintenance Organization 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 2013-11-04
Find all providers in zip 33803

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366069817 Benjamin H Ghaly Dentist 2926 S Florida Ave, Lakeland, FL 33803-4044 2020-07-01
1013534023 Comfortable Care Dental Health Professionals, P.a. Dentist 7255 Kathleen Rd, Lakeland, FL 33810-4722 2020-06-26
1073006441 Yasodhara Devi Vadlamudi Dentist 4849 Senander Cres, Lakeland, FL 33810-3726 2018-06-11
1467941609 Comfortable Care Dental Health Professionals, P.a. Dentist 5170 Dave Robbins Way, Lakeland, FL 33812-4348 2018-05-03
1275062358 Jean Paul Taveras Dentist 1251 Ariana St, Lakeland, FL 33803-1814 2017-06-12
1972916641 Maryam Rostami Dentist 4204 Us Highway 98 N, Lakeland, FL 33809-3835 2014-06-10
1962814632 Sean Wesley Coyle Dentist 3615 S Florida Ave Ste 850, Lakeland, FL 33803-4868 2014-05-28
1457791030 Bruna Lounsberry Dentist 3756 Us Highway 98 N, Lakeland, FL 33809-3809 2013-06-27
1427300326 Comfortable Care Dental Health Professionals Dentist 6440 Pearce Rd, Lakeland, FL 33809-4191 2012-10-03
1831441724 Comfortable Care Dental Health Professionals Dentist 4335 Highland Park Blvd Ste 2, Lakeland, FL 33813-1627 2012-10-03
Find all providers in LAKELAND

Competitor

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City LAKELAND
Zip Code 33803

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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