Individual
DR. KEVIN DOUGLAS SHEARER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
17720 SE MILL PLAIN BLVD, SUITE 160, VANCOUVER, WA 98683-7583
(360) 944-4437
Mailing address
17720 SE MILL PLAIN BLVD, SUITE 160, VANCOUVER, WA 98683-7583
(360) 944-4437
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034737
WA
111N00000X
Chiropractor
KS8927
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-0-C3-1317-0
BCBS
MI
Enumeration date
05/09/2006
Last updated
10/22/2012
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