Trevecca Shaw, DPM

NPI 1497917165 · on the registry since 2008

Practice

Address: 2406 W Broadway
Louisville, KY 40211
Phone: (502) 775-1711
Fax: (502) 443-0369
Organisation at this address: Jencare Neighborhood Medical Center West Broadway, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 213ES0103X
213ES0103X
Licence states on file: KY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-03-17

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 Kentucky