Individual
DR. KEVIN DANIEL SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
326 SANTA FE DR STE 100, ENCINITAS, CA 92024-5157
(760) 230-8994
Mailing address
326 SANTA FE DR STE 100, ENCINITAS, CA 92024-5157
(760) 633-7634
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A99042
CA
207RP1001X
Pulmonary Disease Physician
Primary
A99042
CA
Other
Enumeration date
07/12/2007
Last updated
01/31/2025
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