Individual
MATTHEW SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
104 HARDIN LN STE A, SOMERSET, KY 42503-3800
(606) 678-2063
Mailing address
104 HARDIN LN STE A, SOMERSET, KY 42503-3800
(606) 678-2063
(606) 678-2218
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04163
KY
207RN0300X
Nephrology Physician
Primary
04163
KY
Other
Enumeration date
03/25/2015
Last updated
06/02/2022
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