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Dr. Trevecca Kerry Shaw, DPM
Foot & Ankle Surgery Podiatrist in Louisville, Kentucky
NPI 1497917165

Trevecca Kerry Shaw is a Foot & Ankle Surgery Podiatrist based in Youngstown, KY and is specialized in Foot & Ankle Surgery. Trevecca Kerry Shaw practices in Louisville, KY and has the professional credentials of DPM. The NPI Number for Trevecca Kerry Shaw is 1497917165 and holds a License No. 00338 (Kentucky).

The current practice location address for Trevecca Kerry Shaw is 2406 W Broadway, Louisville, KY and can be reached out via phone at 502-775-1711 and via fax at 502-443-0369.

Location: 2406 W Broadway, Louisville, KY, 44504-1130
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Provider Profile Details
NPI Number
1497917165
Provider Name
Trevecca Kerry Shaw
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2406 W Broadway, Louisville, KY, 44504-1130
Phone Number
502-775-1711
Fax Number
502-443-0369
Provider Enumeration Date
06/25/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000614278 01 ANTHEM
2919864 05 OH
institution
Provider Business Practice Location Address Details
Address
2406 W Broadway
City
State
Zip
40211-1008
Phone Number
502-775-1711
Fax Number
502-443-0369
person
Provider Business Mailing Address Details
Address
2406 W Broadway
City
State
Zip
40211-1008
Phone Number
502-775-1711
Fax Number
502-443-0369
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
00338 (Kentucky)
Definition
Definition to come...
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