Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth James Shea III, MD

Individual provider Vascular Neurology Physician · NPI 1881855187

Dr. Kenneth James Shea III, MD is a Neurology in Saint Cloud, Minnesota. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 2008, 18 years ago. Practices with Centracare Clinic, a 782-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
18
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
MN
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3540 17th Ave S
Saint Cloud, MN 56301-9664
Phone: (320) 766-2680
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 57322 (MN)
Vascular Neurology Physician Taxonomy 2084V0102X · Licence 57322 (MN)

Record details

NPI number1881855187
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 19, 2008
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 2008 (18 years in practice)
Group practice Centracare Clinic — 782 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare