Individual
DR. ASHLEY KIRSTEN SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
85 SEYMOUR ST, STE 409, HARTFORD, CT 06106
(860) 547-0616
(860) 524-2655
Mailing address
85 SEYMOUR ST, STE 409, HARTFORD, CT 06106
(860) 547-0616
(860) 524-2655
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000777
CT
213EP1101X
Primary Podiatric Medicine Podiatrist
000777
CT
213ER0200X
Radiology Podiatrist
000777
CT
213ES0103X
Foot & Ankle Surgery Podiatrist
000777
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030000777CT01
ANTHEM BCBS
CT
05
—
0322890
—
MA
01
—
077700
CTCARE
CT
01
—
1176045 002
CIGNA
CT
01
—
2V3380
HEALTH NET
CT
01
—
3225079
AETNA
CT
01
—
P2883933
OXFORD
CT
Enumeration date
09/15/2005
Last updated
07/12/2007
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