Individual
KRISTEN MCKINNON SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9201 W THOMAS RD, PHOENIX, AZ 85037-3332
(480) 500-2540
(623) 201-7954
Mailing address
645 E MISSOURI AVE STE 300, PHOENIX, AZ 85012-1351
(480) 500-2540
(623) 201-7954
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
AZ51534
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2013
Last updated
12/18/2020
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