Kennedy, Shaun

Kennedy, Shaun is an individual health care provider with primary practice located at 1575 Beam Ave , Maplewood MN 55109-2502. He 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 / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Kennedy, Shaun can be contacted via phone (651) 232-7348.

Contact Information

Primary practice address
1575 Beam Ave Maplewood MN 55109-2502
Phone: (651) 232-7348
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Minnesota
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 59164 Minnesota

Profile Details

NPI number 1407110265
LBN Legal business name Kennedy, Shaun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2012
Last updated Jul 21st, 2022 - about 3 years ago

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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