Shea, Kenneth James

Shea, Kenneth James is an sole proprietor health care provider with primary practice located at 3540 17Th Ave S , Saint Cloud MN 56301-9664. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Neurology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Shea, Kenneth James can be contacted via phone (320) 766-2680.

Contact Information

Primary practice address
3540 17Th Ave S Saint Cloud MN 56301-9664
Phone: (320) 766-2680
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 57322 Minnesota
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 57322 Minnesota

Profile Details

NPI number 1881855187
LBN Legal business name Shea, Kenneth James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2008
Last updated Mar 14th, 2023 - 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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