Kenneth Alan Shore, M.D.

NPI #1114960606 in Plano, Texas

Provider Information

NPI Number: 1114960606
Entity Type: Individual
Name: Kenneth Alan Shore, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jun 13, 2006
Last Updated: Nov 1, 2019

Practice Location

Address: 5501 INDEPENDENCE PKWY STE 110
City: Plano
State: Texas
ZIP Code: 75023-5472
Phone: (972) 596-1747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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