Search › Maryland › 1041C0700X
Kelly Shaw
NPI 1780231100 · on the registry since 2019 · sole proprietor
Practice
- Address
- 757 Whitneys Landing Dr
Crownsville, MD 21032 - Phone
- (443) 420-8073
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-04-02
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 Maryland