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Dr. Kevin Charles Shannon, MD
Family Medicine Physician in San Bernardino, California
NPI 1356470314

Kevin Charles Shannon is a Family Medicine Physician based in San Bernardino, CA. Kevin Charles Shannon practices in San Bernardino, CA and has the professional credentials of MD. The NPI Number for Kevin Charles Shannon is 1356470314 and holds a License No. 11096 (California).

The current practice location address for Kevin Charles Shannon is 1454 E 2Nd St, San Bernardino, CA and can be reached out via phone at 909-382-7146 and via fax at 909-382-7101.

Location: 1454 E 2Nd St, San Bernardino, CA, 92408-0118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356470314
Provider Name
Kevin Charles Shannon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1454 E 2Nd St, San Bernardino, CA, 92408-0118
Phone Number
909-382-7146
Fax Number
909-382-7101
Provider Enumeration Date
03/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30201226 05 NH
0RE6020 05 VT
institution
Provider Business Practice Location Address Details
Address
1454 E 2Nd St
City
San Bernardino
State
California
Zip
92408-0118
Phone Number
909-382-7146
Fax Number
909-382-7101
person
Provider Business Mailing Address Details
Address
1454 E 2Nd St
City
San Bernardino
State
California
Zip
92408-0118
Phone Number
909-382-7146
Fax Number
909-382-7101
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
11096 (New Hampshire)
Definition
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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