SHANNON KENNEY (DO) – Family Medicine Physician, NPI 1053390690
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SHANNON KENNEY (DO)
1, Augusta, Frances, Northwood, Irvine, Orange County, California, 92620, United States
DEPARTMENT OF VETERANS AFFAIRS
AUGUSTA, ME 043306719
Phone: (207) 623-8411
Fax: (207) 621-4844
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-10-19
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 04330)
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