Individual
DR. SHANE PATRICK HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
800 PLAZA DR STE 400, BELLE VERNON, PA 15012
(724) 379-5816
(724) 379-5813
Mailing address
800 PLAZA DR, SUITE 400, BELLE VERNON, PA 15012-4019
(724) 379-5816
(724) 379-5874
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OS018852
PA
Other
Enumeration date
05/11/2014
Last updated
07/02/2018
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