Individual
DR. KIRSTEN ELISE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1510 E MAIN ST STE 104C, SANTA MARIA, CA 93454-4825
(805) 928-5767
(805) 349-0222
Mailing address
1510 E MAIN ST STE 104C, SANTA MARIA, CA 93454-4825
(805) 928-5767
(805) 349-0222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
66783
MN
207RC0000X
Cardiovascular Disease Physician
Primary
A202815
CA
Other
Enumeration date
08/10/2018
Last updated
06/30/2025
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