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Contact Information

KATHRYN W SHAW, MD
1150 N 35TH AVE STE 390
HOLLYWOOD, FL33021-5429
 Phone: 954-265-7450
 Fax: 954-265-7459
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KATHRYN W SHAW · (Female)

NPI # 1649515297
Status Active
Credentials MD
Entity Individual
Enumeration date 12/09/2012
Last updated 03/12/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME141862
  • WA License # MD60740019
Hospital affiliation(s)
  • MEMORIAL REGIONAL HOSPITAL - (Acute Care)
    3501 JOHNSON ST
    HOLLYWOOD, FL 33021
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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