Individual
KEVIN MICHAEL KASHUBA-SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 292-7805
(210) 292-7868
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 292-7805
(210) 292-7868
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101283990
VA
Other
Enumeration date
03/13/2023
Last updated
10/09/2024
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