Individual
DR. KEVIN WILLIAM O'SHAUGHNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9640 CROSSHILL BLVD, STE 101, JACKSONVILLE, FL 32222-5854
(904) 404-4445
Mailing address
210 11TH AVE N APT 102, JACKSONVILLE BEACH, FL 32250-7265
(904) 625-1578
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN 16801
FL
Other
Enumeration date
06/19/2007
Last updated
01/06/2012
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