Shea, Kelly Maureen

Shea, Kelly Maureen is an sole proprietor health care provider with primary practice located at 8636 Winchester Dr , Jacksonville FL 32217-4830. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Geriatric. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Shea, Kelly Maureen can be contacted via phone (904) 739-0807.

Contact Information

Primary practice address
8636 Winchester Dr Jacksonville FL 32217-4830
Phone: (904) 739-0807
Fax: (904) 367-0364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS 22538 Florida
Pharmacy Service Providers / Geriatric 1835G0303X Florida

Profile Details

NPI number 1548484587
LBN Legal business name Shea, Kelly Maureen
Credentials RCPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2007
Last updated Jul 8th, 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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