Individual
KEYTONIA S SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 WHITNEY AVE, MEMPHIS, TN 38127-6662
(901) 353-5440
Mailing address
2150 WHITNEY AVE, MEMPHIS, TN 38127-6662
(901) 353-5440
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
8388
TN
Other
Enumeration date
02/05/2007
Last updated
07/21/2011
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