Individual
MS. KRISTIN KIRKLAND SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1605 GENERAL BOOTH BLVD, VIRGINIA BEACH, VA 23454-5691
(757) 721-0512
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005014
VA
Other
Enumeration date
06/08/2015
Last updated
03/23/2022
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