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Individual

KERRY L SHEEHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1875 WOODWINDS DR, WOODBURY, MN 55125-2298
(651) 232-6700
(651) 232-6711
Mailing address
1875 WOODWINDS DR, WOODBURY, MN 55125-2298
(651) 232-6700
(651) 232-6711

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34680
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34680
MEDICAL LICENSE
MN
Enumeration date
07/21/2005
Last updated
10/20/2011
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