Individual
DR. DANIEL A SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
993-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16255
COVENTRY-LOC#2
KS
01
—
269148
COVENTRY-LOC#1
KS
05
—
463280
—
KS
01
—
834
PPK
KS
Enumeration date
01/03/2006
Last updated
12/05/2007
Update your record
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