Shaw, Kimberly Dawn

Shaw, Kimberly Dawn is an individual health care provider with primary practice located at 930 3Rd St , Greensboro NC 27405-6967. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Shaw, Kimberly Dawn can be contacted via phone (336) 890-3200.

Contact Information

Primary practice address
930 3Rd St Greensboro NC 27405-6967
Phone: (336) 890-3200
Fax: (336) 890-3290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 290 North Carolina

Profile Details

NPI number 1639241490
LBN Legal business name Shaw, Kimberly Dawn
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Aug 19th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639241490 NPPES
North Carolina Other 10643 ACNM CERTIFICATE NUMBER

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