Individual
KYLE CHRISTOPHER SHEPHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2930 MAPLE ST, EVERETT, WA 98201-3832
(425) 261-1500
Mailing address
2930 MAPLE ST, EVERETT, WA 98201-3832
(425) 261-1500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00044970
WA
208M00000X
Hospitalist Physician
Primary
MD00044970
WA
Other
Enumeration date
11/30/2006
Last updated
05/05/2021
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