Individual provider · Type 1 NPI

Kyle G. Shaw

Student in an Organized Health Care Education/Training Program · Cleveland, OH

NPI number 1649920646 Active

Practice location

9500 Euclid Ave
Cleveland, OH 44195-1700

Mailing address

25567 Huron St
Loma Linda, CA 92354-3722

Other practice locations

  • 11175 Campus St, Loma Linda, CA 92350-1700 · (909) 558-4462

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1649920646

Kyle G. Shaw's National Provider Identifier is 1649920646, issued on Mar 24, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cleveland, OH. The record was last updated on Apr 4, 2023.