Individual
KYLE SHEPPERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6810 STATE ROUTE 162, SUITE 10, MARYVILLE, IL 62062
(618) 288-2020
(618) 288-7983
Mailing address
6810 STATE ROUTE 162 BOX 215, MARYVILLE, IL 62062-8501
(618) 391-6405
(618) 288-4088
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036108702
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108702
—
IL
Enumeration date
12/08/2005
Last updated
03/17/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us