Individual
DR. CHRISTOPHER C SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4000
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
47405
KY
207P00000X
Emergency Medicine Physician
R2633
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2011
Last updated
06/06/2023
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