KELLY P SHAW (NPI# 1801928924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801928924 |
| Entity Type | Individual |
| Full Name | KELLY P SHAW |
| Practice Address |
75-5995 Kuakini Hwy Ste 113 Kailua Kona HI 96740-2120 |
| Practice Telephone | 8083270300 |
| Practice Fax Number | 8083270401 |
| Mailing Telephone | 8083270300 |
| Mailing Fax Number | 8083270401 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DT1993 | HI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336762822 | Kelly Shaw | Student in an Organized Health Care Education/Training Program | 9800 Warwickshire Ln, Charlotte, NC 28270-1601 | 2020-05-19 |
| 1114113214 | Kelly L Shaw | Registered Nurse | 8154 Painted Tree Trl, Fort Worth, TX 76131-4559 | 2007-09-21 |
| 1780231100 | Kelly Grace Shaw | Behavior Technician | 565 Benfield Rd Ste 300, Severna Park, MD 21146-2517 | 2019-08-21 |
| 1700277852 | Kelly Shaw | Registered Nurse | 5901 E 7th St, Long Beach, CA 90822-5201 | 2015-02-11 |
| 1205226107 | Kelly Corey Shaw | Acupuncturist | 6018 Se Stark St, Portland, OR 97215-1990 | 2015-01-29 |
| 1790049807 | Kelly Shaw | Speech-Language Pathologist | 5219 88th Ave, Kenosha, WI 53144-7468 | 2012-07-03 |
| 1720213358 | Kelly Shaw | Social Worker | 1001 Georges Station Rd, Greensburg, PA 15601-6982 | 2009-05-27 |
| 1740431915 | Kelly Shaw | Physical Therapist | 200 2nd Ave, Kingston, PA 18704-5722 | 2008-10-07 |
| 1376723874 | Kelly Anne Shaw | Counselor | 200 Heritage Way, Kalispell, MT 59901-3146 | 2007-11-13 |
| 1235255829 | Kelly Shaw | Occupational Therapy Assistant | 19401 S Vermont Ave, Suite A-200, Torrance, CA 90502-1029 | 2007-03-22 |
| Street Address |
75-5995 KUAKINI HWY STE 113 |
| City | KAILUA KONA |
| State | HI |
| Zip Code | 96740-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
| 1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
| 1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
| 1275182040 | Jessica Marie Penaranda | Pharmacist | 5595 Palani Road, Kona, HI 96740 | 2019-09-05 |
| 1558870600 | Malia Lewis Vannatta | Nurse Practitioner | 75-184 Hulalalai Rd, 302, Kailua Kona, HI 96740 | 2017-09-20 |
| 1043759087 | Paul Michael Heller | Acupuncturist | 72 3996 Hawaii Belt Rd, Kailua Kona, HI 96740 | 2017-02-22 |
| 1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
| 1326425083 | Lauren Deweese | Massage Therapist | 76-6194 Holualoa Beach Rd, Unit 6, Kailua-kona, HI 96740 | 2015-05-01 |
| 1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
| 1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
| Find all providers in zip 96740 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336577659 | Kathleen Rowley | Dentist | 75-5591 Palani Rd # R, Kailua Kona, HI 96740-3631 | 2013-10-23 |
| 1538405576 | Kona Coast Dental Care, Inc. | Dentist | 75-5591 Palani Rd Ste 202, Kailua Kona, HI 96740-3632 | 2012-12-19 |
| 1003194804 | Hong Lao Murray | Dentist | 75-1028 Henry St Ste 203, Kailua Kona, HI 96740-1693 | 2011-07-27 |
| 1609071687 | Carter Satoru Yokoyama | Dentist | 75-5905 Walua Rd, Ste 7, Kailua Kona, HI 96740-5315 | 2007-06-19 |
| 1568672756 | Garrett B.k. Oka | Dentist | 75-5660 Kopiko St, #b2, Kailua Kona, HI 96740-3611 | 2007-05-23 |
| 1447373725 | Douglas H. Dierenfield | Dentist | 75-6082 Alii Dr, Suite D, Kailua Kona, HI 96740-4303 | 2007-04-09 |
| 1780730416 | Michael A Jones | Dentist | 75-1028 Henry St. Ste 203, Kailua Kona, HI 96740 | 2007-01-26 |
| 1245235019 | Daniel John Walker | Dentist | 76-6225 Kuakini Hwy, Ste A101, Kailua Kona, HI 96740-3212 | 2005-06-16 |
| 1043606270 | Fredric C Gaeta Dds | Dentist | 75-5706 Hanama Pl, Suite 105a, Kailua Kona, HI 96740-1745 | 2015-04-14 |
| 1104162858 | Elite Smile Center, LLC | Dentist | 75-1028 Henry St, Suite 203, Kailua Kona, HI 96740-1693 | 2012-12-28 |
| Find all providers in KAILUA KONA | ||||
| City | KAILUA KONA |
| Zip Code | 96740 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.