Individual
DR. KIMBERLY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LAT, ATC
Contact information
Practice address
3202 VETERANS STADIUM DR, TROY, AL 36082-0001
(334) 670-5818
Mailing address
3202 VETERANS STADIUM DR, TROY, AL 36082-0001
(334) 670-5818
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
881
AL
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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