Individual
DR. KENNETH NEIL SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
709 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5047
(865) 453-7111
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD021361
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0154929
BLUE CROSS
TN
01
—
3081457
BLUE CROSS
TN
05
—
3816910
—
TN
05
—
3816911
—
TN
05
—
64035975
—
KY
01
—
P00211373
RAILROAD MEDICARE
TN
01
—
P00312153
RAILROAD MEDICARE
TN
Enumeration date
06/12/2006
Last updated
11/29/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us