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Individual
DR. KEVIN M. SHANNON
Active
Individual
DR. KEVIN M. SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G54765
CA
2080P0207X
Pediatric Hematology & Oncology Physician
G54765
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G547650
—
CA
Enumeration date
09/16/2006
Last updated
09/11/2025
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