Dr. Shannon Holer Kelso is a Lakeland, Florida based Dentist who is specialized in
Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Shannon Holer Kelso is
DN20919 for General Practice Dentistry in Florida. Her current practice location is
2156 Harden Blvd., Lakeland. Patients can reach her at
863-603-7400.
Dr. Shannon Holer Kelso is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Shannon Holer Kelso speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Shannon Holer Kelso |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2156 Harden Blvd., Lakeland,
Florida, 33803 |
| Phone: | 863-603-7400 |
| Fax: | 863-603-7411 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1407164502 |
| NPI Enumeration Date: | 23 Sep, 2010 |
| NPI Last Update On: | 21 Mar, 2019 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shannon Holer Kelso are as mentioned below.
| License Number | Specialization | State | Status | |
| DN20919 | General Practice Dentistry | Florida | Primary | |
| 59793 | Dentistry | California | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2156 Harden Blvd.,
Lakeland, Florida |
| Zip: | 33803 |
| Phone Number: | 863-603-7400 |
| Fax Number: | 863-603-7411 |
Patients can reach Dr. Shannon Holer Kelso at
2156 Harden Blvd., Lakeland, Florida or can
call to book an appointment on 863-603-7400.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.