Individual
MR. KENTON O SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-4487
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 936-2000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 0000004254
TN
Other
Enumeration date
06/04/2013
Last updated
03/23/2022
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