KELLY P SHAW

KAILUA KONA, HI
NPI1801928924
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: HI  DT1993)
Enumeration Date2007-03-12
Last Update Date2007-07-08
Business Address
-- KELLY P SHAW
75-5995 KUAKINI HWY STE 113
KAILUA KONA, HI 96740-2120
Phone number: 808-327-0300
Mailing Address
-- KELLY P SHAW
75-5995 KUAKINI HWY STE 113
KAILUA KONA, HI 96740-2120
Phone number: 808-327-0300
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