Individual
MS. CECILIA AUGUSTA SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA/CST
Contact information
Practice address
420 STILESVILLE RD, SCIENCE HILL, KY 42553-7410
(606) 219-0900
Mailing address
PO BOX 3714, WEST SOMERSET, KY 42564-3714
(606) 224-2566
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
3429
KY
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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