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Individual
KAYLEE JANE SHEPHERD
Active
Individual
KAYLEE JANE SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
Q3799
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19600526
—
NM
05
—
200717790A
—
OK
05
—
357544103
—
TX
05
—
357544104
—
TX
Enumeration date
04/19/2013
Last updated
09/25/2025
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