Individual
KYLE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA CF-SLP
Contact information
Practice address
3308 ALEXANDER WAY, BROOMFIELD, CO 80023-8030
(720) 514-9216
Mailing address
4225 CORRIENTE PL, BOULDER, CO 80301-1628
(918) 230-2551
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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