Individual
DR. KENDALL C SHIBUYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
26401 PACIFIC HWY S STE 101, DES MOINES, WA 98198-9247
(206) 870-3590
(206) 824-1670
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
(425) 277-1566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61071725
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013399781
—
WA
Enumeration date
06/18/2015
Last updated
11/10/2025
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