SearchKentucky101YP2500X

Sandra Shannon

NPI 1881332666 · on the registry since 2022 · sole proprietor

Practice

Address
7 Waveland Ave
Winchester, KY 40391
Phone
(859) 385-4669
Organisation at this address
National Youth Advocate Program, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky