Individual
KYLE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
364 BERLIN CROSS KEYS RD, WILLIAMSTOWN, NJ 08094-3473
(856) 994-0004
(856) 497-5133
Mailing address
134 BRIDGETON PIKE STE C, MULLICA HILL, NJ 08062-2616
(856) 507-2783
(856) 221-4138
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00355700
NJ
213E00000X
Podiatrist
SC007080
PA
Other
Enumeration date
04/06/2017
Last updated
04/03/2026
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