SearchCalifornia235Z00000X

Kyle Shaw

NPI 1295168904 · on the registry since 2013

Practice

Address
762 Sunset Glen Dr
San Jose, CA 95123
Phone
(408) 281-2435
Organisation at this address
Discovery Charter School Ii
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-08-16

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 California