Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH SHAW, ATC, LAT
ActiveKENNETH SHAW, ATC, LAT is a Athletic Trainer healthcare provider located in BRISTOL, Tennessee. NPI 1891417580 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BRISTOL, TN
Registration Details
- NPI Number
- 1891417580
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 19, 2022 (3.8604454311974 yrs)
- Last Updated
- Sep 19, 2022
- License
-
2994 (TN)
Practice Information
- Address
-
1350 KING COLLEGE RDBRISTOL, TN, 376202632Browse TN providers · Browse ZIP 37620
- Phone
- 8003620014
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BRISTOL, TN
| Name | Credential | NPI |
|---|---|---|
| MR. RICHARD M. O'CONNOR | MA, ATC, LAT | 1598729048 |
| MRS. SHELIA D CROCKETT | ATC/L | 1063524759 |
| MORGAN PERRY | ATC | 1356869671 |
| TAYLOR WHITE | ATC | 1295381895 |
| MIKKI LEANN OLIVER | MA, LAT, ATC | 1376193599 |
| RACHEL E. MARTIN | ATC | 1841832631 |
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.