Individual
KATHLEEN JEAN SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4301 WILSON ST, FORT SILL, OK 73503-4472
(580) 558-2500
Mailing address
4301 WILSON ST, FORT SILL, OK 73503-4472
(580) 558-2500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201645
OK
Other
Enumeration date
10/26/2020
Last updated
01/04/2024
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