Individual
KEVIN GERARD SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G83734
CA
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
G83734
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
G83734
CA
2080S0010X
Pediatric Sports Medicine Physician
M-7583
ID
Other
Enumeration date
08/10/2006
Last updated
04/27/2024
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