Individual
DR. JACOB MATTHEW SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
331 SIJEN AVE, WHITEMAN AFB, MO 65305
(660) 287-2180
Mailing address
901 E 104TH ST, KANSAS CITY, MO 64131-4517
(214) 984-2351
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
MD-44454
IA
207Q00000X
Family Medicine Physician
Primary
2018023747
MO
208M00000X
Hospitalist Physician
2018023747
MO
Other
Enumeration date
04/03/2015
Last updated
02/16/2024
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