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Dr. Kevin J Shannon

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NPI Number Detailed Information

Provider Information:

Name: Dr. Kevin J Shannon
Gender: M
Provider License Number If Given: D0053829

NPI Information:

NPI: 1881697894
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 4/12/2016

Provider Business Mailing Address:

Address: 1900 S MAIN ST MANAGED CARE DEPT
Findlay, OH 45840
Phone Number: 4194235262
Fax Number: 4194235550

Provider Business Practice Location Address:

Address: 15990 MEDICAL DR S
Findlay, OH 45840
Phone Number: 4194229898
Fax Number: 4194290805

Provider Taxonomy:

Primary: 207RH0003X
Secondary (if any):
State: OH

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