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Individual
DR. KURTE WALLY SHEPHERD
Active
Individual
DR. KURTE WALLY SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1563
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035HW
BCBS
—
05
—
1529075002
—
TX
01
—
5143640001
DMERC
—
Enumeration date
05/03/2006
Last updated
02/20/2009
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