Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kelvin L. Shane, DDS

Individual provider Dentist · NPI 1154733095

Dr. Kelvin L. Shane, DDS is a Dentist in Hudson, Wisconsin. Licensed in Minnesota and Wisconsin. Registered with an NPI since 2014.

Licensed in
MN, WI
In the registry since
2014
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

108 Walnut St Ste A
Hudson, WI 54016
Phone: (715) 386-2133
Fax: (763) 515-3970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 1001487-15 (WI)
Dentist Taxonomy 122300000X · Licence D13373 (MN)

Record details

NPI number1154733095
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 27, 2014
Last updated in NPPESApril 17, 2019
Mailing address108 Walnut Street, Suite A, Hudson, WI 54016

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