Individual
DR. KEVIN MICHAEL SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1004 S BROADWAY ST, TOLEDO, IA 52342-2302
(641) 484-3740
(641) 484-5861
Mailing address
1004 S BROADWAY ST, P.O. BOX 96, TOLEDO, IA 52342-2302
(641) 484-3740
(641) 484-5861
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A06065
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0192948
—
IA
Enumeration date
06/30/2006
Last updated
07/09/2007
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