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Individual
DR. KATHRYN MARY SHAW
Active
Individual
DR. KATHRYN MARY SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH9554
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000854600
—
FL
01
—
88959
BCBS
FL
Enumeration date
06/30/2008
Last updated
05/01/2023
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