Shannon, Kevin M.

Shannon, Kevin M. is an individual health care provider with primary practice located at 500 Parnassus Ave # Hse-302 , San Francisco CA 94143-2203. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Shannon, Kevin M. can be contacted via phone (415) 476-7932.

Contact Information

Primary practice address
500 Parnassus Ave # Hse-302 San Francisco CA 94143-2203
Phone: (415) 476-7932
Fax: (415) 502-5127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G54765 California
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X G54765 California

Profile Details

NPI number 1922104728
LBN Legal business name Shannon, Kevin M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jul 9th, 2007 - about 17 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 1922104728 NPPES
California MEDICAID 00G547650

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