Individual provider · Type 1 NPI

Shannon Marie Kenny

Physician Assistant · Concord, NC

NPI number 1033807052 Active

Practice location

200 Medical Park Dr Ste 500
Concord, NC 28025-0946

Call (704) 403-4980 Map

Fax (704) 403-4981

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X4864 (SC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1033807052

Shannon Marie Kenny's National Provider Identifier is 1033807052, issued on Apr 27, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Concord, NC. The record was last updated on Jan 22, 2026.