Individual
KIMBERLY MICHELE SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
4600 BROADWAY, SACRAMENTO, CA 95820-1527
(916) 874-9670
Mailing address
3723 61ST ST, SACRAMENTO, CA 95820-2418
(916) 718-3937
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
653566
CA
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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