Individual
KEVIN K SHINSAKO
Active
Individual
KEVIN K SHINSAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA.0005916
CO
363AS0400X
Surgical Physician Assistant
085-004681
IL
363AS0400X
Surgical Physician Assistant
Primary
PA.0005916
CO
Other
Enumeration date
04/10/2013
Last updated
09/11/2024
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