DR. KENNETH JAMES SHEA III


Address: 3540 17th Ave S, Saint Cloud, MN 56301-9664
Phone: 3207662680

DR. KENNETH JAMES SHEA III (NPI# 1881855187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881855187
Entity Type Individual
Full Name DR. KENNETH JAMES SHEA III
Credential M.D.
Practice Address 3540 17th Ave S
Saint Cloud
MN 56301-9664
Practice Telephone 3207662680
Mailing Telephone 3207662680
Enumeration Date 2008-06-19
Last Update Date 2015-12-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
57322 MN Allopathic & Osteopathic Physicians
N 2084V0102X Psychiatry & Neurology
Specialization: Vascular Neurology
57322 MN Allopathic & Osteopathic Physicians

Office Location

Street Address 3540 17TH AVE S
City SAINT CLOUD
State MN
Zip Code 56301-9664

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013528207 Stephen Sean Jenkins Psychologist 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 2020-08-12
1316453442 Amber Grengs Behavior Technician 3721 23rd St S Ste 201, Saint Cloud, MN 56301 2017-12-27
1124532999 Ashley Aune Lewandowski Chiropractor 3333 W. Division St. Suite 122a, St. Cloud, MN 56301 2017-11-30
1962923680 Inspired By You Home Care, LLC Home Health 2700 1st Street N, Suite 202, St Cloud, MN 56301 2017-07-03
1487189569 Brett Finberg Pharmacy Technician 141 33rd Ave South, Saint Cloud, MN 56301 2017-04-26
1629513221 Robert Schug Pharmacy Technician 141 33rd Ave S, Saint Cloud, MN 56301 2017-01-05
1649726910 Rebecca Hoffman Pllc Specialist 3400 1st Street N, Suite 300, St. Cloud, MN 56301 2016-08-28
1558728600 Language Partners Interpreter 400 1st St S, Suite 600, St. Cloud, MN 56301 2016-01-20
1679981856 Quality Homecare Services Inc Home Health 3450 W Germain St, Ste 206, St Cloud, MN 56301 2014-07-31
1063759546 Grand St Paul Cvs, LLC Durable Medical Equipment & Medical Supplies 2420 Division St, St. Cloud, MN 56301 2013-01-03
Find all providers in zip 56301

Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861807786 Nudrat Tasneem Psychiatry & Neurology 1200 6th Ave N, Saint Cloud, MN 56303-2735 2014-06-30
1083976195 Leah Ann Thronaum Psychiatry & Neurology 1200 6th Ave N, Saint Cloud, MN 56303-2735 2012-06-14
1528157500 Leanore Miriam Simon Psychiatry & Neurology 1200 6th Ave N, Centracare Clinic, Saint Cloud, MN 56303-2735 2006-10-11
1689782765 Elizabeth A Fernandez Psychiatry & Neurology 4801 Veterans Dr, Saint Cloud, MN 56303-2015 2006-08-28
1184677445 Pushp Raj Kapoor Psychiatry & Neurology 1200 6th Ave N, Saint Cloud, MN 56303-2735 2006-05-18
1467433409 Belen O Dy Psychiatry & Neurology 1200 6th Ave N, Saint Cloud, MN 56303-2735 2005-11-08
1497746648 Anh X Nguyen Psychiatry & Neurology 1200 6th Ave N, Saint Cloud, MN 56303-2735 2005-11-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851905251 Nexus Psychiatry & Neurology 2121 Campus Dr Se, Rochester, MN 55904-4744 2020-09-02
1669995528 Malik Ghannam Psychiatry & Neurology 701 15th Ave Se, Minneapolis, MN 55414-4047 2017-07-24
1477903995 James Albert Zeese Jr. Psychiatry & Neurology 2401 Laurel Avenue, Minneapolis, MN 55405 2016-06-15
1265790414 Brian Michael Krasnow Psychiatry & Neurology 1746 Hillcrest Avenue, Saint Paul, MN 55116-2151 2012-04-25
1699079533 Gilbert Westreich Psychiatry & Neurology 1779 Emerson Ave South, Minneapolis, MN 55403-2909 2011-01-07
1720233570 West Central Neurology Pa Psychiatry & Neurology 11521 312th Ave, Princeton, MN 55371-3423 2008-11-20
1235388521 Donald W Klass Psychiatry & Neurology 956 14th Ave Sw, Rochester, MN 55902-2078 2008-09-11
1598929267 Frank Wilson Sharbrough IIi Psychiatry & Neurology 814 8th Ave Sw, Rochester, MN 55902-6308 2008-07-11
1275792293 Ali Emami Psychiatry & Neurology 310 Smith Ave N Ste 440, Saint Paul, MN 55102-2316 2008-06-05
1174718027 Roberta Ruth Hallquist Psychiatry & Neurology 2812 E Superior St, Duluth, MN 55812-2345 2007-09-12
Find all providers with the same taxonomy

Competitor

Search similar providers

City SAINT CLOUD
Zip Code 56301

Improve Information

Please comment or provide details below to improve the information on DR. KENNETH JAMES SHEA III.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches