Kenneth James Shea in Saint Cloud - Neurology

Kenneth James Shea - NPI 1881855187

Kenneth James Shea is a Neurology in Saint Cloud, Minnesota. Kenneth James Shea practices all healthcare services and medical treatments related to Neurology. The NPI Number for Kenneth James Shea is 1881855187. The last update date is 2023-03-14.

Kenneth James Shea's current location address is 3540 17th Ave S, Saint Cloud, Minnesota. You can contact this provider via phone number 3207662680. The mailing address for Kenneth James Shea is 3540 17th Ave S, Saint Cloud, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth James Shea
Address 3540 17th Ave S, Saint Cloud, Minnesota
Phone Number 3207662680
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1881855187
Provider Enumeration Date 2008-06-19
Last Updated Date 2023-03-14

Provider Mailing Address Detail

Address 3540 17th Ave S
City Saint Cloud
State Minnesota (MN)
Post Code 563019664
Phone Number 3207662680
Fax Number

Provider's Primary Taxonomy Detail

Speciality Neurology
Taxonomy 2084N0400X
Licence No 57322
Definition:
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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FAQs about Kenneth James Shea

What is the unique identification code assigned to Kenneth James Shea by the Centers for Medicare & Medicaid Services?

The Kenneth James Shea has been issued the NPI (National Provider Identifier) 1881855187. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Kenneth James Shea's physical address?

The Kenneth James Shea is physically located at 3540 17Th Ave S, in the city of Saint Cloud, MN, with the postal code 563019664.

What is the Kenneth James Shea's specialty and taxonomy code?

The Kenneth James Shea's specialty is Neurology, and the corresponding taxonomy code is 2084N0400X.

When was the Kenneth James Shea's 1881855187 issued?

The Kenneth James Shea's 1881855187 was issued on 2008-06-19.

As of what date were the Kenneth James Shea's details last updated?

The information pertaining to the Kenneth James Shea, including its address, specialty, and other details, was most recently updated on 2023-03-14.

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