Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PATRICK KEENAN SHANLEY, PA-C
ActivePATRICK KEENAN SHANLEY, PA-C is a Surgical Physician Assistant healthcare provider located in TAOS, New Mexico. NPI 1033386420 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · TAOS, NM
Registration Details
- NPI Number
- 1033386420
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 14, 2008 (18.286864386849 yrs)
- Last Updated
- Jun 17, 2016
- License
-
PA2008-0045 (NM)
Practice Information
- Address
-
1219 GUSDORF RD STE ATAOS, NM, 875716499Browse NM providers · Browse ZIP 87571
- Phone
- 5057580009
- Fax
- 5057588736
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
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.