Individual
DR. KENNETH AARON SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 710-5200
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 701-5200
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
T3546
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-47742
KANSAS MEDICAL LICENSE
KS
01
—
2023014623
MISSOURI MEDICAL LICENSE
MO
01
—
T3546
TEXAS MEDICAL LICENSE
TX
Enumeration date
07/05/2013
Last updated
09/05/2023
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