Search › Minnesota › 2084N0400X
Kenneth Shea, M.D
NPI 1881855187 · on the registry since 2008 · sole proprietor
Practice
- Address
- 3540 17th Ave S
Saint Cloud, MN 56301 - Phone
- (320) 766-2680
- Organisation at this address
- United Special Transportation
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 2084N0400X
2084N0400X
- Also registered as
- 2084V0102X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-14
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 Minnesota