KENNETH SHAW

BRISTOL, TN
NPI1891417580
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN  2994)
Enumeration Date2022-09-19
Last Update Date2022-09-19
Business Address
KENNETH SHAW ATC, LAT
1350 KING COLLEGE RD
BRISTOL, TN 37620-2632
Phone number: 800-362-0014
Mailing Address
KENNETH SHAW ATC, LAT
362 GRANDVIEW ST
CHURCH HILL, TN 37642-3828
Phone number:
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