Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN P SHAW
Active Sole ProprietorICF/Individuals with Intellectual Disabilities · ROSELAND, NE
Registration Details
- NPI Number
- 1407515398
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 8, 2021 (4.3693918839535 yrs)
- Last Updated
- Feb 3, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
15665 W CIMARRON RDROSELAND, NE, 689731814Browse NE providers · Browse ZIP 68973
- Phone
- 4024695021
- Primary Specialty
-
ICF/Individuals with Intellectual Disabilities
315P00000X
- Additional Specialty
- Driver
- Additional Specialty
- Foot & Ankle Surgery
- Additional Specialty
- ICF/Individuals with Intellectual Disabilities
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.