Shaw, Kimberly C.

Shaw, Kimberly C. is an individual health care provider with primary practice located at 6500 Hospital Dr Family Medicine, Hannibal MO 63401-6890. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Shaw, Kimberly C. can be contacted via phone (573) 629-3400.

Contact Information

Primary practice address
6500 Hospital Dr Family Medicine Hannibal MO 63401-6890
Phone: (573) 629-3400
Fax: (573) 629-3414
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 146869 Missouri
Nursing Service Providers / Registered Nurse 163W00000X 041359642 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2014037315 Missouri

Profile Details

NPI number 1467854042
LBN Legal business name Shaw, Kimberly C.
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2014
Last updated Dec 2nd, 2014 - about 11 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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