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Individual
KEVIN ANTONIO LOPEZ-SHIRLEY
Active
Individual
KEVIN ANTONIO LOPEZ-SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008-01556
NC
207R00000X
Internal Medicine Physician
202266
NY
207R00000X
Internal Medicine Physician
33290
SC
208M00000X
Hospitalist Physician
Primary
2008-01556
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01749320
—
NY
05
—
1872287
—
PA
01
—
2023307
MEDICARE PTAN
NC
01
—
2023307B
MEDICARE PTAN, INDIVIDUAL
—
05
—
5910822
—
NC
05
—
Q0155E
—
SC
Enumeration date
07/31/2006
Last updated
06/18/2025
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