Shea, Kevin P.

Shea, Kevin P. is an individual health care provider with primary practice located at Uconn Medical Group 263 Farmington Ave, Farmington CT 06030-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Shea, Kevin P. can be contacted via phone (860) 679-6600.

Contact Information

Primary practice address
Uconn Medical Group 263 Farmington Ave Farmington CT 06030-0001
Phone: (860) 679-6600
Fax: (860) 679-6649
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 029051 Connecticut
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 029051 Connecticut

Profile Details

NPI number 1225035694
LBN Legal business name Shea, Kevin P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Sep 12th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225035694 NPPES
Connecticut MEDICAID 1290519

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