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Search › Kansas › 103TC0700X

Kevin Shaw, LCP

NPI 1639193105 · on the registry since 2006 · sole proprietor

Practice

Address
109 W 2nd St
Ottawa, KS 66067
Phone
(785) 242-2991
Fax
(785) 242-4401
Organisation at this address
Recovery Services Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
101YA0400X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-07-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas