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Individual

KAREN SHEPHERD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
170 CHERRY ST, DUNLAP, TN 37327
(423) 949-5091
(423) 949-4231
Mailing address
170 CHERRY ST., P.O.BOX 1027, DUNLAP, TN 37327
(423) 949-5091
(423) 949-4231

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO00000481
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3051903
BCBS OF TENNESSEE
TN
05
3301985
TN
01
P00290039
RAILROAD MEDICARE
TN
Enumeration date
06/21/2006
Last updated
05/07/2010
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