Individual
KENNETH MARVIN SHEPPARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
1800 N TRAVIS ST, SUITE D, SHERMAN, TX 75092-3702
(903) 868-2650
(903) 870-0229
Mailing address
1800 N TRAVIS ST, SUITE D, SHERMAN, TX 75092-3702
(903) 868-2650
(903) 870-0229
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
80449
TX
Other
Enumeration date
09/09/2011
Last updated
06/12/2012
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