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NPI Code Detail

MEDICARE: KATHLEEN ANGELA SHIEL M.D.

MEDICARE: KATHLEEN ANGELA SHIEL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician0101029219VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295802759
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN ANGELA SHIEL M.D.
Provider Business Mailing Address
First Line : 6801 LUCY CORR CT
Second Line :
City : CHESTERFIELD
State : VA
Zip : 23832-6657
Country : US
Telephone Number : 804-748-1227
Fax Number : 804-717-6659
Provider Business Practice Location Address
First Line : 6801 LUCY CORR CT
Second Line :
City : CHESTERFIELD
State : VA
Zip : 23832-6657
Country : US
Telephone Number : 804-748-1227
Fax Number : 804-717-6659
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 10/22/2013

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