Individual
HEATHER MARIE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 S 2400 RD, WHITE CITY, KS 66872-9373
(785) 512-0402
Mailing address
321 W KANSAS ST, WHITE CITY, KS 66872-9329
(785) 226-1534
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
KS
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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