Individual
KINDRA LEE SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1429 N 6TH ST, TERRE HAUTE, IN 47807-1019
(812) 242-3109
(812) 242-3990
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 242-3157
(812) 242-3861
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71007928A
IN
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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