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Individual
KYLE SHAW
Active
Individual
KYLE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00355700
NJ
213E00000X
Podiatrist
SC007080
PA
Other
Enumeration date
04/06/2017
Last updated
04/03/2026
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