Keisling, Shannon

Keisling, Shannon is an individual health care provider with primary practice located at 111 E 210Th St , Bronx NY 10467-2401. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Keisling, Shannon can be contacted via phone (718) 696-2583.

Contact Information

Primary practice address
111 E 210Th St Bronx NY 10467-2401
Phone: (718) 696-2583
Fax: (718) 881-5074
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 330631 New York

Profile Details

NPI number 1407387855
LBN Legal business name Keisling, Shannon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2017
Last updated May 8th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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