IndividualActive
Shannon Charles, BA
NPI 1164601886 · Day Training/Habilitation Specialist · Prestonsburg, KY
Provider details
- NPI number
- 1164601886
- Entity type
- Individual
- Primary specialty
- Day Training/Habilitation SpecialistNursing Service Related Providers
- Credential
- BA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
40 Greenhouse Ln
Rt 321 Auxier Road
Prestonsburg, KY 41653-9180
Phone: (606) 886-6815
Fax: (606) 886-9878
Approximate (ZIP-level) locationGet directions
Mailing address
104 S Front Ave
Prestonsburg, KY 41653-1614
Registry dates
- Enumerated
- 2007-10-30
- Last updated
- 2007-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.