MR. Shane Merwin Kjar, P.A.

NPI #1013932342 in Salt Lake City, Utah

Provider Information

NPI Number: 1013932342
Entity Type: Individual
Name: MR. Shane Merwin Kjar, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Jul 13, 2006
Last Updated: Feb 19, 2008

Practice Location

Address: 324 10TH AVE STE 154
City: Salt Lake City
State: Utah
ZIP Code: 84103-2876
Phone: (801) 408-8666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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