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Individual

KEVIN K SHINSAKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2000 S COLORADO BLVD, DENVER, CO 80222-7900
(720) 848-1900
Mailing address
PO BOX 110429, AURORA, CO 80042-0429

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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