Individual
KEVIN ANDREW SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6672 CLINTON HWY STE 108, KNOXVILLE, TN 37912-1040
(865) 484-3997
Mailing address
1750 COMMONS POINT DR STE 105, KNOXVILLE, TN 37932-1861
(229) 416-7589
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
11263
TN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
11263
TN
Other
Enumeration date
04/03/2019
Last updated
03/24/2026
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