Kyle Shafer

NPI #1376172775 in Ilwaco, Washington

Provider Information

NPI Number
1376172775
Entity Type
Individual
Name
Kyle Shafer
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Enumeration Date
Apr 7, 2020
Last Updated
Jul 22, 2020

Practice Location

Address
176 1ST AVE N
City
Ilwaco
ZIP Code
98624-9137
Phone
(360) 642-3747

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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