Mrs Keisha Tamara Shaw, - Licensed Practical Nurse in Barboursville, WV

Mrs Keisha Tamara Shaw, is a Licensed Practical Nurse based in Barboursville, West Virginia. Mrs Keisha Tamara Shaw is licensed to practice in West Virginia (license number 32060) and her current practice location is 220 Park Ave, Barboursville, West Virginia. She can be reached at her office (for appointments etc.) via phone at (304) 360-6482.

NPI number for Mrs Keisha Tamara Shaw is 1477815231 and her current mailing address is 220 Park Ave, Barboursville, West Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477815231.

Contact Information

Mrs Keisha Tamara Shaw,
220 Park Ave,
Barboursville, WV 25504-1544
(304) 360-6482
Not Available



Provider's Profile

Full NameMrs Keisha Tamara Shaw
GenderFemale
SpecialityLicensed Practical Nurse
Location220 Park Ave, Barboursville, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1477815231
  • Provider Enumeration Date: 06/07/2012
  • Last Update Date: 06/07/2012

Medical Identifiers

Medical identifiers for Mrs Keisha Tamara Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477815231NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 32060 (West Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Keisha Tamara Shaw is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Keisha Tamara Shaw,
220 Park Ave,
Barboursville, WV 25504-1544

Ph: (304) 360-6482
Mrs Keisha Tamara Shaw,
220 Park Ave,
Barboursville, WV 25504-1544

Ph: (304) 360-6482

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› Verified 3 days ago


Licensed Practical Nurse Nurses in Barboursville, WV

Michelle Scraggs, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 6354 Us Route 60 E, Barboursville, WV 25504
Phone: 304-733-1626    
Susan Berry, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1 Ohanlon Place, Barboursville, WV 25504
Phone: 304-733-5584    

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