Katelyn Shaw

NPI #1538833140 in Frankfort, Illinois

Provider Information

NPI Number
1538833140
Entity Type
Individual
Name
Katelyn Shaw
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Enumeration Date
Aug 6, 2021
Last Updated
Dec 8, 2021

Practice Location

Address
10887 NEBRASKA ST
ZIP Code
60423-2290
Phone
(815) 666-7948

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Student in an Organized Health Care Education/Training Program

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