Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dalton S Shaw

Individual provider Peer Specialist · NPI 1366254708

Dalton S Shaw is a Peer Specialist in Elizabethtown, Kentucky. Licensed in Kentucky. Registered with an NPI since 2025.

Licensed in
KY
In the registry since
2025

Practice location Address checks out

100 Par Ln
Elizabethtown, KY 42701-9023
Phone: (270) 312-2500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 1202722 (KY)

Record details

NPI number1366254708
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 23, 2025
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025
Mailing address211 Ponderosa Dr, Elizabethtown, KY 42701-2668

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