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Kenneth Shaw, ATC, LAT
NPI 1891417580 · on the registry since 2022
Practice
- Address
- 1350 King College Rd
Bristol, TN 37620 - Phone
- (800) 362-0014
- Organisation at this address
- King University
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-19
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 Tennessee