Individual provider · Type 1 NPI

Kevin Charles Shannon, MD

Family Medicine Physician · San Bernardino, CA

NPI number 1356470314 Active

Practice location

1454 E 2nd St
San Bernardino, CA 92408-0118

Call (909) 382-7146 Map

Fax (909) 382-7101

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XG89186 (CA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1356470314

Kevin Charles Shannon, MD's National Provider Identifier is 1356470314, issued on Mar 5, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in San Bernardino, CA. The record was last updated on Jan 9, 2026.