Individual provider · Type 1 NPI

Nikole Koral Shaham, DO

Student in an Organized Health Care Education/Training Program · Kennewick, WA

NPI number 1922799352 Active

Practice location

7201 W Grandridge Blvd
Kennewick, WA 99336-6709

Call (509) 221-5520 Map

Fax (509) 221-5521

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 1922799352

Nikole Koral Shaham, DO's National Provider Identifier is 1922799352, issued on May 17, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kennewick, WA. The record was last updated on Sep 22, 2026.