Individual
BRYAN M SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 E YOUNG AVE, WARRENSBURG, MO 64093-9610
(816) 922-2500
Mailing address
4206 E 105TH TER, KANSAS CITY, MO 64137-1636
(913) 709-1614
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022021468
MO
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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