Individual provider · Type 1 NPI
Kenya Shaw
Meals Provider · Reserve, LA
NPI number
1366354474
Active
Practice location
104 Ivy Ct
Reserve, LA 70084-5505
Fax (504) 814-8055
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Meals Provider Primary | 174200000X | None listed |
Meals Provider: A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
About NPI 1366354474
Kenya Shaw's National Provider Identifier is 1366354474, issued on Sep 22, 2026. The primary taxonomy on file is Meals Provider (174200000X), and the practice location is in Reserve, LA. The record was last updated on Sep 22, 2026.