Individual
KESHIA G. SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
226 MEDICAL PLAZA LN, WHITESBURG, KY 41858-7425
(606) 633-4871
(606) 633-0883
Mailing address
PO BOX 40, WHITESBURG, KY 41858-0040
(606) 633-4823
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
253035
KY
1041C0700X
Clinical Social Worker
Primary
255866
KY
Other
Enumeration date
10/11/2018
Last updated
08/25/2021
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