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Individual
SHANNON KELLY
Active
Individual
SHANNON KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
100334
CA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
A100334
CA
Other
Enumeration date
06/07/2010
Last updated
05/13/2015
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