Individual
KAY ELLEN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
5333 MCAULEY DR, RHB 2110, YPSILANTI, MI 48197-1014
(734) 712-3955
(734) 712-2341
Mailing address
5333 MCAULEY DR, RHB 2110, YPSILANTI, MI 48197-1014
(734) 712-3955
(734) 712-2341
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
4704147795
MI
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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