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Individual

KEVIN P. SHEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
UCONN MEDICAL GROUP, 263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-6600
(860) 679-6649
Mailing address
UCONN MEDICAL GROUP, 263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-6600
(860) 679-6649

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
029051
CT
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
029051
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1290519
CT
Enumeration date
06/30/2005
Last updated
09/12/2022
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