Individual
KIM ANN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 E GOLD COAST RD, PAPILLION, NE 68046-5748
(402) 331-3073
Mailing address
8622 BIRCH DR, LA VISTA, NE 68128-2404
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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