Individual
KRISTIN JOY SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
905 SW DANEY CT, LEES SUMMIT, MO 64081-2759
(816) 830-6032
Mailing address
905 SW DANEY CT, LEES SUMMIT, MO 64081-2759
(816) 830-6032
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017004931
MO
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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