Individual
DR. KEVIN S SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2492 E RIVER RD, TUCSON, AZ 85718-9552
(520) 335-6849
(520) 459-2191
Mailing address
2492 E RIVER RD, TUCSON, AZ 85718-9552
(520) 722-8994
(520) 624-0117
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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