Kerry Kathleen Shaughnessy
Procedural Dermatology
600 Village Square Xing
Palm Beach Gardens
, Florida 33410-4543
Kerry Kathleen Shaughnessy
Procedural Dermatology
600 Village Square Xing
Palm Beach Gardens
, Florida 33410-4543
(561) 296-6174
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About
Features
Specialties
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Kerry Kathleen Shaughnessy
- 600 Village Square Xing
- Palm Beach Gardens, FL
- Zip : 33410-4543
- Fax : (561) 296-6174
- Phone : (561) 693-0540
Second Address
- Kerry Kathleen Shaughnessy
- 600 Village Square Xing
- Palm Beach Gardens, FL
- Zip : 33410-4543
- Fax : (561) 296-6174
- Phone : (561) 693-0540
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207NS0135X | Procedural Dermatology | ME126538 | FL |
National Provider Identifier
| NPI | 1336438753 |
|---|---|
| Provider Name | Kerry Kathleen Shaughnessy |
| First Address | Palm Beach Gardens, FL 33410-4543 |
| Second Address | Palm Beach Gardens, FL 33410-4543 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/04/2011 |
| Last Update Date | 05/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.