Individual
KELLEY JEAN SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
89 MAIN ST, PLAISTOW, NH 03865-3010
(603) 382-3031
(603) 382-5580
Mailing address
89 MAIN ST, PLAISTOW, NH 03865-3010
(603) 382-3031
(603) 382-5580
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
684
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0707724
—
MA
01
—
13Y009078NH01
ANTHEM
NH
01
—
30414644
EDS
—
01
—
5325560
CIGNA HEALTHCARE
NH
01
—
5686743
FIRST HEALTH AND/OR CCN
NH
01
—
655894
TUFTS
—
01
—
AA50990
HARVARD PILGRIM
MA
01
—
OT0159
BLUE CROSS BLUE SHIELD
MA
01
—
P00356772
RAILROAD MEDICARE
—
Enumeration date
05/16/2006
Last updated
04/13/2015
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