Individual provider · Type 1 NPI
Kelly Shaw
Lactation Consultant (Registered Nurse) · Urbana, IL
NPI number
1174495014
Active
Practice location
611 W Park St
Urbana, IL 61801-2501
Mailing address
1096 Bucks Pond Rd
Monticello, IL 61856-8058
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lactation Consultant (Registered Nurse) Primary | 163WL0100X | 041447434 (IL) |
Lactation Consultant (Registered Nurse): Definition to come...
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About NPI 1174495014
Kelly Shaw's National Provider Identifier is 1174495014, issued on Sep 20, 2025. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Urbana, IL. The record was last updated on Sep 20, 2025.