Individual
KELLY SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5766 WILLIAMSBURG CIR, HUDSON, OH 44236-3780
(234) 380-7944
Mailing address
5766 WILLIAMSBURG CIR, HUDSON, OH 44236-3780
(234) 380-7944
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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