Kevin B Shoemake, B.N., MSOM, LAC.

NPI #1609173756 in Hartland, Wisconsin

Provider Information

NPI Number: 1609173756
Entity Type: Individual
Name: Kevin B Shoemake, B.N., MSOM, LAC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: B.N., MSOM, LAC.
Enumeration Date: Feb 24, 2011
Last Updated: Feb 24, 2011

Practice Location

Address: 114 W CAPITOL DR
City: Hartland
State: Wisconsin
ZIP Code: 53029-2042
Phone: (262) 563-8022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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