| Shaw & Wiederhold Psc | |
|
920 Frederica St 301 Owensboro KY 42301-3050 | |
| (270) 926-7272 | |
| Not Available |
| Full Name | Shaw & Wiederhold Psc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 920 Frederica St, Owensboro, Kentucky |
| Authorized Official Name and Position | Kin W Shaw (PRESIDENT) |
| Authorized Official Contact | 2709267272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaw & Wiederhold Psc 920 Frederica St 301 Owensboro KY 42301-3050 Ph: (270) 926-7272 | Shaw & Wiederhold Psc 920 Frederica St 301 Owensboro KY 42301-3050 Ph: (270) 926-7272 |
| NPI Number | 1184998866 |
|---|---|
| Provider Enumeration Date | 02/28/2012 |
| Last Update Date | 02/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184998866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7760 (Kentucky) | Primary |
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