Individual
DR. KEVIN S SHEA
Active
Individual
DR. KEVIN S SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
16143
AZ
2085R0202X
Diagnostic Radiology Physician
197363
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026123303
UNIVERA
—
01
—
00026123305
UNIVERA
—
01
—
000525458004
BLUE SHIELD WNY
—
01
—
000525458006
BLUE SHIELD WNY
—
01
—
0142867
GHI
—
05
—
01970314
—
NY
01
—
040901000017
FIDELIS
—
01
—
197255FF
PREFERRED CARE
—
01
—
1973635W
WORKERS COMPENSATION
NY
01
—
4194144
GHI
—
05
—
471306
—
AZ
01
—
5610364
INDEPENDENT HEALTH
—
01
—
P00140112
RR MEDICARE
—
01
—
P00142429
RR MEDICARE
—
01
—
P010197363
BLUE CHOICE
—
01
—
P020197363
BLUE SHIELD ROCHESTER
—
Enumeration date
04/27/2006
Last updated
11/09/2021
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