SearchTexas207RC0000X

Kenneth Shine, M.D

NPI 1275656845 · on the registry since 2007 · sole proprietor

Practice

Address
601 Colorado St.
Austin, TX 78701
Phone
(512) 499-4224
Fax
(512) 499-4313

Registry record

Primary taxonomy
207RC0000X
207RC0000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas