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Individual
DR. KELLY SHANA SHINTANI
Active
Individual
DR. KELLY SHANA SHINTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11395T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487843652
GROUP NPI
CA
01
—
CI226Z
PTAN
CA
Enumeration date
11/30/2006
Last updated
01/25/2022
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