Individual provider · Type 1 NPI

Kathryn Kimberly Shaw, DNP, FNP-BC

Nurse Practitioner · Park City, UT

NPI number 1952105975 Active

Practice location

1750 Sidewinder Dr
Park City, UT 84060-7570

Call (435) 649-7640 Map

Fax (435) 645-7768

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Other practice locations

3315 W Mayflower Way Ste 4, Lehi, UT 84043-2927 · (801) 224-3031

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	9848969-4405 (UT)
Nurse Practitioner Primary	363L00000X	9848969-4405 (UT)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

6 other providers at this address

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About NPI 1952105975

Kathryn Kimberly Shaw, DNP, FNP-BC's National Provider Identifier is 1952105975, issued on Apr 1, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Park City, UT. The record was last updated on Jan 15, 2026.