NPI 1588337703
Katelyn Marie Shaw
Practice location
- Address
- 49970 van Dyke Ave, Shelby Twp, MI 48317-1347
- Phone
- (586) 991-6596
- Fax
- (248) 712-4381
Registered specialties
Technician/Technologist
Primary
Registry record
- NPI
- 1588337703
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Jul 2021
- Record last updated
- 26 Jul 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.