# MR. KEVIN SHI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588907505
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA61024630 | WA | Yes |
| 363AM0700X | Medical Physician Assistant | PA2016-0014 | NM | — |

## Other

- **Enumeration date:** 03/27/2013
- **Last updated:** 03/10/2020