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Individual

KAY B SHEPHERD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3600 FLORIDA BLVD, BATON ROUGE, LA 70806-3842
(225) 387-7070
(225) 387-7700
Mailing address
PO BOX 4869 DEPT 235, HOUSTON, TX 77210
(877) 744-1141

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP01896
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1548464522
NPI
LA
05
1682632
LA
Enumeration date
06/13/2007
Last updated
11/17/2011
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