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

Dr. Shannon Holer Kelso, DMD

Individual provider Dentist · NPI 1407164502

Dr. Shannon Holer Kelso, DMD is a Dentist in Lakeland, Florida. Licensed in California and Florida. Registered with an NPI since 2010.

Licensed in
CA, FL
In the registry since
2010
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2156 Harden Blvd
Lakeland, FL 33803
Phone: (863) 603-7400
Fax: (863) 603-7411
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN20919 (FL)
Dentist Taxonomy 122300000X · Licence 59793 (CA)

Record details

NPI number1407164502
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedSeptember 23, 2010
Last updated in NPPESMarch 21, 2019

Other providers in Lakeland