Individual
SHAYNA KAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2600 S HERITAGE WOODS DR, APPLETON, WI 54915-1408
(920) 225-7875
(920) 993-5003
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 225-7875
(920) 993-5003
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
TP14078
ME
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
69714
WI
Other
Enumeration date
06/30/2014
Last updated
07/16/2024
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