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Individual
DR. KEVIN JOHN SHANAGHAN
Active
Individual
DR. KEVIN JOHN SHANAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A18062
CA
207Q00000X
Family Medicine Physician
DO2758
ME
207Q00000X
Family Medicine Physician
OS007370E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001264101
—
PA
01
—
0527142000
AMERIHEALTH 65 PA
PA
01
—
080187668
RAILROAD MEDICARE
PA
01
—
104877
JOHNS HOPKINS
PA
01
—
140375
UNISON-WMG HERR'S RIDGE
PA
01
—
146180
UNISON-WMG THURMONT
PA
01
—
20020665
AH MERCY-WMG HERR'S RIDGE
PA
01
—
20026342
AH MERCY-WMG THURMONT
PA
01
—
219458
MAMSI-WMG
PA
05
—
403896
—
MD
01
—
50018543
CAPITAL BC-WMG HERR'S RID
PA
01
—
50021844
CAPITAL BC-WMG THURMONT
PA
01
—
50080314
CAPITAL BC-WMG-ST.CHARLES
PA
01
—
5122170
AETNA
PA
01
—
616924
CAREFIRST MD BCBS
MD
01
—
692270
HIGHMARK BLUE SHIELD
PA
01
—
7429
GEISINGER
PA
01
—
P004726
GATEWAY-WMG
PA
Enumeration date
06/28/2006
Last updated
07/06/2022
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