Kelly Maureen Shea in Jacksonville - Geriatric

Kelly Maureen Shea - NPI 1548484587

Kelly Maureen Shea is a Geriatric in Jacksonville, Florida. Kelly Maureen Shea practices all healthcare services and medical treatments related to Geriatric. The NPI Number for Kelly Maureen Shea is 1548484587. The last update date is 2007-07-08.

Kelly Maureen Shea's current location address is 8636 Winchester Dr, Jacksonville, Florida. You can contact this provider via phone number 9047390807 and fax number 9043670364. The mailing address for Kelly Maureen Shea is 8636 Winchester Dr, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly Maureen Shea
Address 8636 Winchester Dr, Jacksonville, Florida
Phone Number 9047390807
Fax Number 9043670364
Sole Proprietor Y
Credentials RCPH

NPI Number Detail

NPI Number 1548484587
Provider Enumeration Date 2007-04-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 8636 Winchester Dr
City Jacksonville
State Florida (FL)
Post Code 322174830
Phone Number 9047390807
Fax Number 9043670364

Provider's Primary Taxonomy Detail

Speciality Geriatric
Taxonomy 1835G0303X
Definition:
A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision o

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FAQs about Kelly Maureen Shea

What is the unique identifier code issued to Kelly Maureen Shea by the Centers for Medicare & Medicaid Services (CMS)?

The Kelly Maureen Shea has been assigned the NPI (National Provider Identifier) 1548484587. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Kelly Maureen Shea?

The Kelly Maureen Shea is physically situated at 8636 Winchester Dr, in the city of Jacksonville, state of FL, with the postal code 322174830.

What is Kelly Maureen Shea's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kelly Maureen Shea's specialized field of practice is Geriatric, and the corresponding taxonomy code that categorizes this area of specialization is 1835G0303X.

On what date did the Kelly Maureen Shea receive the assignment of its 1548484587 from the Centers for Medicare & Medicaid Services?

The Kelly Maureen Shea was issued its 1548484587 by the Centers for Medicare & Medicaid Services on 2007-04-12.

As of what date was the information pertaining to Kelly Maureen Shea, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kelly Maureen Shea, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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