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Individual
MR. KEVIN SHI
Active
Individual
MR. KEVIN SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61024630
WA
363AM0700X
Medical Physician Assistant
PA2016-0014
NM
Other
Enumeration date
03/27/2013
Last updated
03/10/2020
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