Individual
CHRISTOPHER G SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 E LIBERTY ST, SUITE 800, LOUISVILLE, KY 40202-1434
(502) 540-3365
(502) 479-1425
Mailing address
100 E LIBERTY ST, SUITE 800, LOUISVILLE, KY 40202-1434
(859) 433-8099
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3007295
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100187650
—
KY
Enumeration date
01/19/2012
Last updated
01/27/2015
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