Search › Wisconsin › 235Z00000X
Kyle Shea
NPI 1285019422 · on the registry since 2015 · sole proprietor
Practice
- Address
- 612 E Oak St
Glenwood City, WI 54013 - Phone
- (715) 265-4325
- Organisation at this address
- Glenhaven, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-07-29
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 Wisconsin