Individual
DR. KENNETH JAMES SHEA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
57322
MN
2084V0102X
Vascular Neurology Physician
57322
MN
Other
Enumeration date
06/19/2008
Last updated
03/14/2023
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