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Dr. Shannon Kennedy, MD
Internal Medicine Physician in Charleston, South Carolina
NPI 1821022302

Shannon Kennedy is a Internal Medicine Physician based in Charleston, SC. Shannon Kennedy practices in Charleston, SC and has the professional credentials of MD. The NPI Number for Shannon Kennedy is 1821022302 and holds a License No. 24910 (South Carolina).

The current practice location address for Shannon Kennedy is 109 Wappoo Creek Dr, Charleston, SC and can be reached out via phone at 843-737-5206 and via fax at 843-795-7171.

Location: 109 Wappoo Creek Dr, Charleston, SC, 29412-2135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821022302
Provider Name
Shannon Kennedy
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
109 Wappoo Creek Dr, Charleston, SC, 29412-2135
Phone Number
843-737-5206
Fax Number
843-795-7171
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
249109 05 SC
GP4841 01 SC MEDICAID GROUP #
P00700010 01 SC RAILROAD MC ID-PRIOR 5/1/09
5551 01 SC MEDICARE GROUP #
institution
Provider Business Practice Location Address Details
Address
109 Wappoo Creek Dr
City
Charleston
State
South Carolina
Zip
29412-2135
Phone Number
843-737-5206
Fax Number
843-795-7171
person
Provider Business Mailing Address Details
Address
109 Wappoo Creek Dr
City
Charleston
State
South Carolina
Zip
29412-2135
Phone Number
843-737-5206
Fax Number
843-795-7171
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
249109 (South Carolina)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
24910 (South Carolina)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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