Kevin L Shady is a Diagnostic Radiology in Alton, Illinois. Kevin L Shady practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Kevin L Shady is 1245317304. The last update date is 2010-04-09.
Kevin L Shady's current location address is One Memorial Drive, Alton, Illinois. You can contact this provider via phone number 6184637415 and fax number 3148212180. The mailing address for Kevin L Shady is One Memorial Drive, Alton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin L Shady |
|---|---|
| Address | One Memorial Drive, Alton, Illinois |
| Phone Number | 6184637415 |
| Fax Number | 3148212180 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1245317304 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2010-04-09 |
Provider Mailing Address Detail
| Address | One Memorial Drive |
|---|---|
| City | Alton |
| State | Illinois (IL) |
| Post Code | 62002 |
| Phone Number | 6184637415 |
| Fax Number | 3148212180 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 36088119 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 300066968 | RR CARE | ||
| 300066978 | RR CARE | ||
| 360881191 | IL | -- | |
| 46068 | HCARE USA | ||
| 208893503 | MO | -- | |
| 6021895 | IL | BLUE | |
| 1609006 | PH PLAN | ||
| 431725842MID | MERCY | ||
| 300066973 | RR CARE | ||
| 398004 | HLT PART |
Post Comment/ Review Below
What is the unique identification code assigned to Kevin L Shady by the Centers for Medicare & Medicaid Services?
The Kevin L Shady has been issued the NPI (National Provider Identifier) 1245317304. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kevin L Shady is physically located?
The Kevin L Shady is physically situated at the following address: One Memorial Drive, Alton, IL, 62002.
What is the area of specialization for Kevin L Shady, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kevin L Shady is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1245317304 to Kevin L Shady?
The Kevin L Shady received its 1245317304 assignment from the Centers for Medicare & Medicaid Services on 2006-11-01.
When was the Kevin L Shady's information last updated?
The Kevin L Shady's information was last updated on 2010-04-09.