Kenneth H Shibata, MD
Internal Medicine in Tacoma, WA. Individual provider (NPI-1).
NPI number1528079282
StatusActive
Last updated in NPPESApr 3, 2014
Details
- NPI
- 1528079282
- Entity type
- Individual (NPI-1)
- Name
- Kenneth H Shibata
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 10, 2006
- Last updated
- Apr 3, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD00018056 | WA | Yes |
Practice location
1608 S J StFloor 3
Tacoma, WA 98405-4930
Phone 253-274-7503 · Fax 253-274-7993
Mailing address
1608 S J StFloor 3
Tacoma, WA 98405-4930
Phone 253-274-7503 · Fax 253-274-7993
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