Individual
DR. STEPHEN WALTER SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1900 GREENSBURG RD, CAMPBELLSVILLE, KY 42718-8448
(270) 465-5651
(270) 469-4600
Mailing address
PO BOX 546, CAMPBELLSVILLE, KY 42719-0546
(270) 465-5651
(270) 469-4600
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5201
KY
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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