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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANE J MILLARD, AMD

Active

SHANE J MILLARD, AMD is a Physician Assistant healthcare provider located in KAILUA, Hawaii. NPI 1568444941 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · KAILUA, HI

Registration Details

NPI Number
1568444941
Provider Type
Individual
Gender
Male
NPI Issued
Nov 18, 2005 (20.592096455732 yrs)
Last Updated
May 8, 2023
License
AMD 240 (HI)

Practice Information

Address
130 KAILUA RD
SUITE 111
KAILUA, HI, 967343420
Browse HI providers · Browse ZIP 96734
Phone
8082614411
Fax
8084663354
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in KAILUA, HI

Name Credential NPI
MRS. NICOLE S CHRYSLER PA 1043218217
MR. CONRAD F KRESS PA-C 1891773628
VIRGINIA HM LAM PA 1134232465
JILL S. WILLIAMS PA-C 1699848176
MISS SHELEAN L ROYLANCE PA-C 1932301918
RAYNIER CRUZBORROTO PA-C 1386039915
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.