Individual
KAMI C SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13430 N MERIDIAN ST, SUITE 275, CARMEL, IN 46032-1405
(317) 582-8810
(317) 582-8863
Mailing address
13430 N MERIDIAN ST, SUITE 275, CARMEL, IN 46032-1405
(317) 582-8810
(317) 582-8863
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10000476A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01097929
RAILROAD MEDICARE PIN
IN
Enumeration date
06/25/2010
Last updated
12/14/2012
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