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1336762822
KELLY SHAW
AUSTIN, TX
NPI
1336762822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-05-19
Last Update Date
2022-11-03
Business Address
KELLY SHAW PA
1500 RED RIVER ST
AUSTIN, TX 78701-1918
Phone number: 512-324-7000
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Mailing Address
KELLY SHAW PA
1621 E 6TH ST APT 1351
AUSTIN, TX 78702-3344
Phone number: 704-208-6408
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