Individual
KEVIN MICHAEL SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
94 HIGH ST, NEWTON, NJ 07860-1721
(973) 300-1850
(973) 300-1840
Mailing address
94 HIGH ST, NEWTON, NJ 07860-1721
(973) 300-1850
(973) 300-1840
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4903
NJ
Other
Enumeration date
08/29/2006
Last updated
10/24/2007
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