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Kimberly Danielle Shaw, PA-C
Physician Assistant in Harvey, Illinois
NPI 1942454186

Kimberly Danielle Shaw is a Physician Assistant based in Harvey, IL. Kimberly Danielle Shaw practices in Harvey, IL and has the professional credentials of PA-C. The NPI Number for Kimberly Danielle Shaw is 1942454186 and holds a License No. 085-003355 (Illinois).

The current practice location address for Kimberly Danielle Shaw is 31 W 155Th St, Harvey, IL and can be reached out via phone at 708-596-5177 and via fax at 708-596-5518.

Location: 31 W 155Th St, Harvey, IL, 60426-3556
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942454186
Provider Name
Kimberly Danielle Shaw
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
31 W 155Th St, Harvey, IL, 60426-3556
Phone Number
708-596-5177
Fax Number
708-596-5518
Provider Enumeration Date
11/14/2008
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
085003355 05 IL
01616617 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
31 W 155Th St
City
Harvey
State
Illinois
Zip
60426-3556
Phone Number
708-596-5177
Fax Number
708-596-5518
person
Provider Business Mailing Address Details
Address
31 W 155Th St
City
Harvey
State
Illinois
Zip
60426-3556
Phone Number
708-596-5177
Fax Number
708-596-5518
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
085-003355 (Illinois)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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