KEVIN CHARLES SHANNON

SAN BERNARDINO, CA
NPI1356470314
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NH  11096)
Enumeration Date2007-03-05
Last Update Date2013-04-15
Business Address
Dr. KEVIN CHARLES SHANNON M.D.
1454 E 2ND ST
SAN BERNARDINO, CA 92408-0118
Phone number: 909-382-7146
Mailing Address
Dr. KEVIN CHARLES SHANNON M.D.
1454 E 2ND ST
SAN BERNARDINO, CA 92408-0118
Phone number: 909-382-7146