Individual
DR. KYLE SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1524 PINTO LN FL 2, LAS VEGAS, NV 89106-4195
(702) 992-6888
Mailing address
1524 PINTO LN FL 2, LAS VEGAS, NV 89106-4195
(702) 992-6888
(775) 623-3567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
SL2009
NV
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/20/2023
Last updated
07/16/2024
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