Provider Demographics
NPI:1750782819
Name:KARI, SHAWN MAURICE (DVM)
Entity type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:MAURICE
Last Name:KARI
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 510
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92393-0510
Mailing Address - Country:US
Mailing Address - Phone:760-221-9231
Mailing Address - Fax:760-243-7368
Practice Address - Street 1:15187 GRAVILLA RD
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92392-9496
Practice Address - Country:US
Practice Address - Phone:760-221-9231
Practice Address - Fax:760-243-7368
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-09
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10383174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian