Individual
DR. CHARLES TYLER SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8925 W MAPLE ST STE 12, WICHITA, KS 67209-1462
(316) 519-3564
Mailing address
8925 W MAPLE ST STE 12, WICHITA, KS 67209-1462
(316) 519-3564
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05750
KS
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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