Shaw, Kelley C

Shaw, Kelley C is an individual health care provider with primary practice located at 3400A Old Milton Pkwy Ste 330 , Alpharetta GA 30005-4438. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Shaw, Kelley C can be contacted via phone (770) 751-6111.

Contact Information

Primary practice address
3400A Old Milton Pkwy Ste 330 Alpharetta GA 30005-4438
Phone: (770) 751-6111
Fax: (770) 772-6099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN171700 Georgia

Profile Details

NPI number 1356618912
LBN Legal business name Shaw, Kelley C
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2011
Last updated Nov 28th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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