Individual
KEVIN PATRICK O'SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
500 YORK RD STE 201, JENKINTOWN, PA 19046-2872
(215) 517-1212
(215) 517-1229
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP009030
PA
363LA2200X
Adult Health Nurse Practitioner
SP009030
PA
Other
Enumeration date
09/27/2006
Last updated
04/21/2025
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