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

Kimberly Danielle Shaw, PA-C

Individual provider Physician Assistant · NPI 1942454186

Kimberly Danielle Shaw, PA-C is a Physician Assistant in Harvey, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

31 W 155th St
Harvey, IL 60426-3556
Phone: (708) 596-5177
Fax: (708) 596-5518
Show map & directions

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

Additional practice locations (1)

  • 3201 S Wallace St, Chicago, IL 60616-3501 — (312) 326-1615

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085-003355 (IL)

Record details

NPI number1942454186
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 14, 2008
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024

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