Individual provider · Type 1 NPI
Kimberly Jean Shea, MA
Specialist · Massapequa, NY
NPI number
1497018949
Active
Practice location
67 Jackson Pl
Massapequa, NY 11758-7811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None 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 1497018949
Kimberly Jean Shea, MA's National Provider Identifier is 1497018949, issued on Jun 20, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Massapequa, NY. The record was last updated on Jun 20, 2012.