Provider Demographics
NPI:1700523727
Name:SHAW, ASHLEY MARY (MD)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MARY
Last Name:SHAW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 ABRAHAM FLEXNER WAY, SUITE 690, DEPARTMENT OF FAMIL
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202
Mailing Address - Country:US
Mailing Address - Phone:502-852-0132
Mailing Address - Fax:
Practice Address - Street 1:201 ABRAHAM FLEXNER WAY, DEPARTMENT OF FAMILY MEDICINE
Practice Address - Street 2:SUITE 690
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202
Practice Address - Country:US
Practice Address - Phone:502-852-0132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-19
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program