Individual provider · Type 1 NPI

Kelly Shea

Specialist · Merrick, NY

NPI number 1194069930 Active

Practice location

29 W Loines Ave
Merrick, NY 11566-3072

Call (516) 377-2837 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1194069930

Kelly Shea's National Provider Identifier is 1194069930, issued on Nov 17, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Merrick, NY. The record was last updated on Nov 17, 2012.