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

Individual provider Pediatrics Physician · NPI 1487953675

Shannon Kelly Evans is a Pediatrics Physician in Louisville, Kentucky. Licensed in Kentucky and Vermont. Registered with an NPI since 2011.

Licensed in
KY, VT
In the registry since
2011
Specialties on file
3
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Practice location Address checks out

4123 Dutchmans Ln Ste 301
Louisville, KY 40207-4721
Phone: (802) 847-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 50218 (KY)
Pediatrics Physician Taxonomy 208000000X · Licence 042.0012902 (VT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1487953675
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 28, 2011
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024

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