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

Kellyanne Shaw

Individual provider Counselor · NPI 1558117002

Kellyanne Shaw is a Counselor in Bowling Green, Kentucky. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

380 Suwannee Trail St
Bowling Green, KY 42103-7956
Phone: (270) 901-5000
Show map & directions

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1558117002
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 25, 2024
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024
Mailing address380 Suwannee Trail St, Bowling Green, KY 42103-7956

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