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Shannon Kearney
NPI 1386196988 · on the registry since 2016 · sole proprietor
Practice
- Address
- 30 Buccaneer Ln
East Setauket, NY 11733 - Phone
- (631) 675-0369
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Also registered as
- 164W00000X
- Licence states on file
- NY, CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-10-29
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 New York