Individual
DR. KENDALL JONES SHAW III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1602 SKIPWITH RD, RICHMOND, VA 23229
(804) 287-4500
Mailing address
107 CHANDLER COURT, CHARLOTTESVILLE, VA 22902-6462
(804) 652-9500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0116031747
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2018
Last updated
11/26/2021
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