Mrs Keisha Tamara Shaw, | |
220 Park Ave, Barboursville, WV 25504-1544 | |
(304) 360-6482 | |
Not Available |
Full Name | Mrs Keisha Tamara Shaw |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 220 Park Ave, Barboursville, West Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477815231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 32060 (West Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Keisha Tamara Shaw, 220 Park Ave, Barboursville, WV 25504-1544 Ph: (304) 360-6482 | Mrs Keisha Tamara Shaw, 220 Park Ave, Barboursville, WV 25504-1544 Ph: (304) 360-6482 |
Michelle Scraggs, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6354 Us Route 60 E, Barboursville, WV 25504 Phone: 304-733-1626 | |
Susan Berry, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1 Ohanlon Place, Barboursville, WV 25504 Phone: 304-733-5584 |