Keef, Shannon Michelle
Keef, Shannon Michelle is an individual health care provider with primary practice located at 4692 Brownsboro Rd , Winston Salem NC 27106-3410. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Keef, Shannon Michelle can be contacted via phone (336) 251-1114.Contact Information
Primary practice address
4692 Brownsboro Rd
Winston Salem NC 27106-3410
Phone: (336) 251-1114
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 260321 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 5006623 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 5006623 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 5006623 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 260321 | North Carolina |
Profile Details
| NPI number | 1558791541 |
|---|---|
| LBN Legal business name | Keef, Shannon Michelle |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 12th, 2013 |
| Last updated | May 5th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558791541 | NPPES |
| North Carolina | MEDICAID | 1558791541 |
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