Kanwon Shaw, PA-C
Physician Assistant in Hudson, Massachusetts
1477170546- Practice location
- 1 Cabot RD Ste 101, Hudson, MA 01749-2963
- Phone
- 978-562-3536
- Fax
- 978-562-4626
- Last updated
- October 9, 2024
Kanwon Shaw is a Physician Assistant based in Hudson, MA. Kanwon Shaw practices in Hudson, MA and has the professional credentials of PA-C. The NPI Number for Kanwon Shaw is 1477170546 and holds a License No. PA9338 (MA). The current practice location address for Kanwon Shaw is 1 Cabot RD Ste 101, Hudson, MA 01749-2963 and can be reached out via phone at 978-562-3536 and via fax at 978-562-4626.
Provider Profile Details
- NPI Number
- 1477170546
- Provider Name
- Kanwon Shaw
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Cabot RD Ste 101, Hudson, MA 01749-2963
- Phone Number
- 978-562-3536
- Fax Number
- 978-562-4626
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 6, 2020
- Last Update Date
- October 9, 2024
- Certification Date
- October 9, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Cabot RD Ste 101
Hudson, MA 01749-2963 - City
- Hudson
- State
- Massachusetts
- Zip
- 01749-2963
- Phone Number
- 978-562-3536
- Fax Number
- 978-562-4626
Provider Business Mailing Address Details
- Address
- 171 Main St Ste 203B
Ashland, MA 01721-1187 - City
- Ashland
- State
- MA
- Zip
- 01721-1187
- Phone Number
- 508-881-3029
- Fax Number
- 508-881-1752
License Information
- License Number (1)
- PA9338
- License State (1)
- MA
- Taxonomy (1)
- Internal Medicine · 207R00000X
- Taxonomy (2)
- Physician Assistant · 363A00000X
- License Number (3)
- PA9339
- License State (3)
- MA
- Taxonomy (3)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Hudson, MA
View all Physician Assistants in Hudson →- Allison A Medeiros, PA-CPhysician Assistant · NPI 1780224337
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- Jerry G Cardillo, PA-CPhysician Assistant · NPI 1316214463
- Mr. Andrew G Petlock, PAPhysician Assistant · NPI 1972381077
- Mrs. Kristin L Schmitt, PA-CPhysician Assistant · NPI 1659581577
- Ms. Amy M Pinkham, PA-CPhysician Assistant · NPI 1639385131
Frequently Asked Questions
What is the NPI number of Kanwon Shaw, PA-C?
The NPI number of Kanwon Shaw, PA-C is 1477170546. It was assigned on July 6, 2020 and is currently active in the NPPES registry.
What is the specialty of Kanwon Shaw, PA-C?
Kanwon Shaw, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA9338.
Where does Kanwon Shaw, PA-C practice?
The practice location is 1 Cabot RD Ste 101, Hudson, MA 01749-2963. The office can be reached at 978-562-3536 (phone) or 978-562-4626 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1477170546 directly on the NPPES registry website.