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

Dr. Kenneth Neil Shaw, MD

Individual provider Emergency Medicine Physician · NPI 1124060249

Dr. Kenneth Neil Shaw, MD is an Emergency Medicine Physician in Sevierville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

709 Middle Creek Rd
Sevierville, TN 37862-5047
Phone: (865) 453-7111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD021361 (TN)

Record details

NPI number1124060249
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESNovember 29, 2007
Mailing addressPo Box 634706, Cincinnati, OH 45263-0001

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