KELLY L SHAW RN
NPI 1114113214
Registered Nurse - Case Management in Fort Worth, TX
Active since September 21, 2007
About Kelly L Shaw Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY L SHAW RN (NPI 1114113214) is an individual case management provider in Fort Worth, Texas, licensed in Texas (664845) and active in the NPI registry since September 2007.
NPPES Registry Identity
NPI1114113214
Entity TypeIndividualFemale
Primary Taxonomy163WC0400X
Provider Legal NameKELLY L SHAWCredential: RN
Location Address8154 PAINTED TREE TRLFort Worth, TX 76131-4559
Mailing Address8154 Painted Tree TrlFort Worth, TX 76131-4559 · (817) 306-5604
Phone(817) 306-5604
Sole ProprietorYes
Enumeration DateSeptember 21, 2007
✔ NPI 1114113214 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers
Taxonomy Code163WC0400X
License✔ Licensed in TX · 664845
8154 PAINTED TREE TRL, Fort Worth, TX 76131
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114113214, enumerated as an "individual" on September 21, 2007.
The provider is located at 8154 PAINTED TREE TRL FORT WORTH, TX 76131 and the phone number is (817) 306-5604.
Registered Nurse with taxonomy code 163WC0400X and a focus in Case Management.
