Kelly Shannon PHD

  • NPI 1699874198
According to our database, the NPI number for Kelly Shannon PHD is 1699874198 and activated since 17 years ago. Kelly Shannon PHD is an individual provider who specializes in Clinical, and the primary practice location is 102 E Mulberry Ave, San Antonio, TX 78212. You can also contact Kelly Shannon PHD via telephone number is (210) 279-1516. Provider NPI information was last updated on 03/24/2009.

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Overview of Kelly Shannon PHD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/21/2006
  • Last updated: 03/24/2009

Primary Scrop of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: 2-3034
  • License State: TX

Provider Mailing Address

  • Address: Po Box 120041
    San Antonio, TX 78212
  • Phone: 210-279-1516
  • Fax: 210-733-0141

Provider Practice Location

  • Address: 102 E Mulberry Ave
    San Antonio, TX 78212
  • Phone: 210-279-1516
  • Fax: 210-733-0141

Scope of Practice

  • Taxonomy Code: 103TC0700X
  • Specialty: Clinical
  • License Number: 2-3034
  • License State: TX
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 035931704
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: TX
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kelly Shannon PHD?
  • A: The npi number for Kelly Shannon PHD is 1699874198.
  • Q: What are Kelly Shannon PHD's specialties?
  • A: Kelly Shannon PHD's specialties are Clinical and different specialities.
  • Q: What is the medical license for Kelly Shannon PHD?
  • A: The medical license number for Kelly Shannon PHD is 2-3034 and issued in TX in USA.
  • Q: Where is Kelly Shannon PHD practice location?
  • A: Kelly Shannon PHD is practicing at 102 E Mulberry Ave, San Antonio, TX 78212.
  • Q: How to contact Kelly Shannon PHD?
  • A: You can contact Kelly Shannon PHD via 210-279-1516.
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