Individual
KRISTIAN TAYLOR SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14601 DETROIT AVE, LAKEWOOD, OH 44107-4205
(216) 237-5500
Mailing address
828 WATERFORD CUT, CRYSTAL LAKE, IL 60014-8506
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
05/10/2023
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