Kelly Shaw, PA

NPI #1336762822 in Austin, Texas

Provider Information

NPI Number
1336762822
Entity Type
Individual
Name
Kelly Shaw, PA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
May 19, 2020
Last Updated
Nov 3, 2022

Practice Location

Address
1500 RED RIVER ST
City
Austin
State
Texas
ZIP Code
78701-1918
Phone
(512) 324-7000

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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