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Kevin Michael Kashuba-shanahan, MD
Military Health Care Provider in Jbsa Ft Sam Houston, Texas
NPI 1588365027

Kevin Michael Kashuba-shanahan is a Military Health Care Provider based in Jbsa Ft Sam Houston, TX. Kevin Michael Kashuba-shanahan practices in Jbsa Ft Sam Houston, TX and has the professional credentials of MD. The NPI Number for Kevin Michael Kashuba-shanahan is 1588365027 and holds a License No. (Texas).

The current practice location address for Kevin Michael Kashuba-shanahan is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX and can be reached out via phone at 210-292-7805 and via fax at 210-292-7868.

Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX, 78234-4504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588365027
Provider Name
Kevin Michael Kashuba-shanahan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX, 78234-4504
Phone Number
210-292-7805
Fax Number
210-292-7868
Provider Enumeration Date
03/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3551 Roger Brooke Dr
City
Jbsa Ft Sam Houston
State
Texas
Zip
78234-4504
Phone Number
210-292-7805
Fax Number
210-292-7868
person
Provider Business Mailing Address Details
Address
3551 Roger Brooke Dr
City
Jbsa Ft Sam Houston
State
Texas
Zip
78234-4504
Phone Number
210-292-7805
Fax Number
210-292-7868
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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