Shaw, Kathryn Kimberly
Shaw, Kathryn Kimberly is an individual health care provider with primary practice located at 1750 Sidewinder Dr , Park City UT 84060-7570. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Shaw, Kathryn Kimberly can be contacted via phone (435) 649-7640.Contact Information
Primary practice address
1750 Sidewinder Dr
Park City UT 84060-7570
Phone: (435) 649-7640
Fax: (435) 645-7768
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9848969-4405 | Utah |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 9848969-4405 | Utah |
Profile Details
| NPI number | 1952105975 |
|---|---|
| LBN Legal business name | Shaw, Kathryn Kimberly |
| Credentials | DNP, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2025 |
| Last updated | Jan 15th, 2026 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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