Shea, Kyra Y
Shea, Kyra Y is an individual health care provider with primary practice located at 340 Boatner Rd Bldg 2751 , Eglin Afb FL 32542-1391. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Shea, Kyra Y can be contacted via phone (508) 883-8052.Contact Information
Primary practice address
340 Boatner Rd Bldg 2751
Eglin Afb FL 32542-1391
Phone: (508) 883-8052
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DS035916 | Pennsylvania |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 56736 | California |
Profile Details
| NPI number | 1558351403 |
|---|---|
| LBN Legal business name | Shea, Kyra Y |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Apr 19th, 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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