Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN SHANNON
ActiveKEVIN SHANNON is a Peer Specialist healthcare provider located in SOUTHGATE, Michigan. NPI 1013698422 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · SOUTHGATE, MI
Registration Details
- NPI Number
- 1013698422
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2023 (3.023789408695 yrs)
- Last Updated
- Jul 27, 2023
Practice Information
- Address
-
13101 ALLEN RDSOUTHGATE, MI, 481952216Browse MI providers · Browse ZIP 48195
- Phone
- 7347857700
- Fax
- 7342871953
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in SOUTHGATE, MI
| Name | Credential | NPI |
|---|---|---|
| MR. JEFFREY DAVID MEYERS | — | 1215222609 |
| KATHLEEN MARIE CRANE | — | 1538582325 |
| KARIMA NATAKI TAYLOR | CPR-M | 1730571951 |
| AMY HOLLON | — | 1477068161 |
| AMANDA CLARK | — | 1255835351 |
| PAUL SIMON VIERS | CPRC, CPRM, CPSS | 1043794597 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.