Individual
ANGELA S SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1401 HARRODSBURG RD, SUITE C-100, LEXINGTON, KY 40504-3751
(859) 276-1966
(859) 276-2840
Mailing address
100 E LIBERTY ST, SUITE 800, LOUISVILLE, KY 40202-1434
(606) 330-7807
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC406
KY
Other
Enumeration date
10/28/2015
Last updated
01/21/2021
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