Individual
KAITLYN CHEYENNE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3211 S SENECA ST, WICHITA, KS 67217-3348
(316) 670-1582
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
81510
KS
Other
Enumeration date
05/15/2023
Last updated
05/24/2023
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