Provider Demographics
NPI:1720256985
Name:CHANDLER, SHAWN KENNEDY (DC)
Entity Type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:KENNEDY
Last Name:CHANDLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 RIVER BEND RD
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-2750
Mailing Address - Country:US
Mailing Address - Phone:502-223-7218
Mailing Address - Fax:502-223-5177
Practice Address - Street 1:975 RIVER BEND RD
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-6314
Practice Address - Country:US
Practice Address - Phone:502-223-7218
Practice Address - Fax:502-223-5177
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4904111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor