Shaw, Kyle

Shaw, Kyle is an individual health care provider with primary practice located at 8011 W Chester Pike , Upper Darby PA 19082-1317. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Shaw, Kyle can be contacted via phone (610) 449-2345.

Contact Information

Primary practice address
8011 W Chester Pike Upper Darby PA 19082-1317
Fax: (610) 449-2577
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD00355700 New Jersey
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC007080 Pennsylvania

Profile Details

NPI number 1710410899
LBN Legal business name Shaw, Kyle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2017
Last updated Aug 28th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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