Kelly Riley Shaw is a Pediatrics in Columbus, Georgia. Kelly Riley Shaw practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kelly Riley Shaw is 1134161086. The last update date is 2007-07-08.
Kelly Riley Shaw's current location address is 705 17th St, Columbus, Georgia. You can contact this provider via phone number 7063210930. The mailing address for Kelly Riley Shaw is 705 17th St, Columbus, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Riley Shaw |
|---|---|
| Address | 705 17th St, Columbus, Georgia |
| Phone Number | 7063210930 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1134161086 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 705 17th St |
|---|---|
| City | Columbus |
| State | Georgia (GA) |
| Post Code | 319013500 |
| Phone Number | 7063210930 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | PTH1172 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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What is the unique 10-digit identification code issued to Kelly Riley Shaw by the Centers for Medicare & Medicaid Services?
The Kelly Riley Shaw has been assigned the NPI (National Provider Identifier) 1134161086 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Kelly Riley Shaw's facilities are situated?
The facilities of Kelly Riley Shaw are physically located at the following address: 705 17Th St, Columbus, GA, 319013500.
What is Kelly Riley Shaw's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kelly Riley Shaw is Pediatrics, and the taxonomy code that categorizes this field of expertise is 2251P0200X.
On what date did Kelly Riley Shaw receive its 1134161086 assignment from the Centers for Medicare & Medicaid Services?
The Kelly Riley Shaw was assigned its 1134161086 on 2006-06-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kelly Riley Shaw most recently updated?
The details pertaining to the Kelly Riley Shaw, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.