Individual
KENT SHEPARD JEFFERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1018 BROADWAY AVE, WABASHA, MN 55981-1761
(507) 696-0248
Mailing address
1018 BROADWAY AVE, WABASHA, MN 55981-1761
(651) 565-3747
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
42413
MN
207Q00000X
Family Medicine Physician
42413
MN
Other
Enumeration date
04/04/2006
Last updated
09/11/2025
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