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Dr. Mary Kelly Shanahan, MD
Obstetrics & Gynecology Physician in South Lake Tahoe, California
NPI 1588661359

Mary Kelly Shanahan is a Obstetrics & Gynecology Physician based in South Lake Tahoe, CA. Mary Kelly Shanahan practices in South Lake Tahoe, CA and has the professional credentials of MD. The NPI Number for Mary Kelly Shanahan is 1588661359 and holds a License No. G78582 (California).

The current practice location address for Mary Kelly Shanahan is 1154 Emerald Bay Rd, South Lake Tahoe, CA and can be reached out via phone at 530-542-4961 and via fax at 530-542-4964.

Location: 1154 Emerald Bay Rd, South Lake Tahoe, CA, 96150-6288
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588661359
Provider Name
Mary Kelly Shanahan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1154 Emerald Bay Rd, South Lake Tahoe, CA, 96150-6288
Phone Number
530-542-4961
Fax Number
530-542-4964
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1588661359 05 CA
1588661359 05 NV
institution
Provider Business Practice Location Address Details
Address
1154 Emerald Bay Rd
City
South Lake Tahoe
State
California
Zip
96150-6288
Phone Number
530-542-4961
Fax Number
530-542-4964
person
Provider Business Mailing Address Details
Address
1154 Emerald Bay Rd
City
South Lake Tahoe
State
California
Zip
96150-6288
Phone Number
530-542-4961
Fax Number
530-542-4964
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
G78582 (California)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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