Individual provider · Type 1 NPI

Trevecca Kerry Shaw, DPM

Foot & Ankle Surgery Podiatrist · Louisville, KY

NPI number 1497917165 Active

Practice location

2406 W Broadway
Louisville, KY 40211-1008

Fax (502) 443-0369

Mailing address

1320 Belmont Ave, #1
Youngstown, OH 44504-1130

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103X00338 (KY)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1497917165

Trevecca Kerry Shaw, DPM's National Provider Identifier is 1497917165, issued on Jun 25, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Louisville, KY. The record was last updated on Sep 29, 2026.