Kelly Shaw

NPI #1134900814 in Hudson, Ohio

Provider Information

NPI Number: 1134900814
Entity Type: Individual
Name: Kelly Shaw
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Oct 10, 2023
Last Updated: Oct 10, 2023

Practice Location

Address: 5766 WILLIAMSBURG CIR
City: Hudson
State: Ohio
ZIP Code: 44236-3780
Phone: (234) 380-7944

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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