Individual
KIMBERLY DAWN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
930 3RD ST, GREENSBORO, NC 27405-6967
(336) 890-3200
(336) 890-3290
Mailing address
930 3RD ST, GREENSBORO, NC 27405-6967
(336) 890-3200
(336) 890-3290
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
290
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10643
ACNM CERTIFICATE NUMBER
NC
Enumeration date
11/15/2006
Last updated
08/19/2021
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