Individual
SHANNON KENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 VA CTR, DEPARTMENT OF VETERANS AFFAIRS, AUGUSTA, ME 04330-6719
(207) 623-8411
(207) 621-4844
Mailing address
1 VA CTR, DEPARTMENT OF VETERANS AFFAIRS, AUGUSTA, ME 04330-6719
(207) 623-8411
(207) 621-4844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1836
ME
Other
Enumeration date
01/12/2006
Last updated
03/29/2011
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