DR. Kenneth Steven Shaw, O.D.

NPI #1326106931 in Evans, Georgia

Provider Information

NPI Number: 1326106931
Entity Type: Individual
Name: DR. Kenneth Steven Shaw, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 997 WINDMILL PKWY
City: Evans
State: Georgia
ZIP Code: 30809-6666
Phone: (706) 787-7155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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