Shannon Marie Kenny

NPI #1033807052 in Concord, North Carolina

Provider Information

NPI Number: 1033807052
Entity Type: Individual
Name: Shannon Marie Kenny
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Apr 27, 2023
Last Updated: Jan 22, 2026

Practice Location

Address: 200 MEDICAL PARK DR STE 500
City: Concord
State: North Carolina
ZIP Code: 28025-0946
Phone: (704) 403-4980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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