Individual
DR. RYAN M SHEPHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
214 HOSPITAL RD, WHITESBURG, KY 41858-7627
(606) 633-6870
(606) 633-5656
Mailing address
214 HOSPITAL RD STE B, WHITESBURG, KY 41858-7627
(606) 633-6870
(606) 633-5656
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101018810
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OF96004
MEDICARE GROUP PTAN
MI
Enumeration date
06/30/2010
Last updated
11/22/2019
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