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Individual

MR. KURT K SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
925 BETHEL ST STE 205, HONOLULU, HI 96813-4307
(808) 341-3552
Mailing address
1212 NUUANU AVE APT 1211, HONOLULU, HI 96817-4025
(808) 341-3552

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7949
HI

Other

Enumeration date
04/21/2009
Last updated
04/21/2009
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