Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHAYNE S KEDDY, D.O.
ActiveDR. SHAYNE S KEDDY, D.O. is a Vascular Surgery healthcare provider located in POTOSI, Missouri. NPI 1861465627 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · POTOSI, MO
Registration Details
- NPI Number
- 1861465627
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 10, 2006 (20.518788914712 yrs)
- Last Updated
- Dec 17, 2014
- Licenses
-
2001016005 (MO)2001016005 (MO)
Practice Information
- Address
-
24 SOUTHTOWNE DRPOTOSI, MO, 636645729Browse MO providers · Browse ZIP 63664
- Phone
- 5734383737
- Primary Specialty
-
Vascular Surgery
208VP0000X
- Additional Specialty
- Vascular Surgery
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.