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Individual

KRISTA MICHELE SHEPHERD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
119 E SANDERS LN, MOUNT WASHINGTON, KY 40047-7557
(502) 251-3821
(502) 251-3822
Mailing address
431 WEBB LN, TAYLORSVILLE, KY 40071-6796
(502) 321-2449

Taxonomy

Speciality
Code
Description
License number
State
364SL0600X
Long-Term Care Clinical Nurse Specialist
Primary
1129569
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1129569
LICENSE NUMBER
KY
Enumeration date
06/10/2021
Last updated
06/10/2021
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