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Dr. Kathryn Mary Shaw, PHD,DC
Chiropractor in Port Orange, Florida
NPI 1255593240

Kathryn Mary Shaw is a Chiropractor based in Port Orange, FL. Kathryn Mary Shaw practices in Port Orange, FL and has the professional credentials of PHD,DC. The NPI Number for Kathryn Mary Shaw is 1255593240 and holds a License No. CH9554 (Florida).

The current practice location address for Kathryn Mary Shaw is 3773 Fiano Dr, Port Orange, FL and can be reached out via phone at 407-421-4554.

Location: 3773 Fiano Dr, Port Orange, FL, 32129-8623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255593240
Provider Name
Kathryn Mary Shaw
Credential
PHD,DC
Provider Entity Type
Individual
Gender
Female
Address
3773 Fiano Dr, Port Orange, FL, 32129-8623
Phone Number
407-421-4554
Fax Number
Provider Enumeration Date
06/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000854600 05 FL
88959 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
3773 Fiano Dr
City
Port Orange
State
Florida
Zip
32129-8623
Phone Number
407-421-4554
Fax Number
person
Provider Business Mailing Address Details
Address
3773 Fiano Dr
City
Port Orange
State
Florida
Zip
32129-8623
Phone Number
407-421-4554
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CH9554 (Florida)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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