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

Kelly Shaw

Individual provider Lactation Consultant (Registered Nurse) · NPI 1174495014

Kelly Shaw is a Lactation Consultant (Registered Nurse) in Urbana, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

611 W Park St
Urbana, IL 61801-2501
Phone: (217) 902-3140
Show map & directions

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

Specialties & licences

Lactation Consultant (Registered Nurse) (primary) Taxonomy 163WL0100X · Licence 041447434 (IL)

Record details

NPI number1174495014
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 20, 2025
Last updated in NPPESSeptember 20, 2025
Certification dateSeptember 20, 2025
Mailing address1096 Bucks Pond Rd, Monticello, IL 61856-8058

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