Individual provider · Type 1 NPI
Kelly L. Shaw, RN
Case Management Registered Nurse · Fort Worth, TX
NPI number
1114113214
Active
Practice location
8154 Painted Tree Trl
Fort Worth, TX 76131-4559
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | 664845 (TX) |
Case Management Registered Nurse: Definition to come...
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About NPI 1114113214
Kelly L. Shaw, RN's National Provider Identifier is 1114113214, issued on Sep 21, 2007. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Fort Worth, TX. The record was last updated on Sep 21, 2007.