Individual
VICTORIA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 WOODLAND DR, ELIZABETHTOWN, KY 42701-2749
(270) 769-5963
(270) 769-9051
Mailing address
1115 WOODLAND DR, ELIZABETHTOWN, KY 42701-2749
(270) 769-5963
(270) 769-9051
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
06125
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2021
Last updated
07/02/2025
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