Individual
KASEY SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N BROADWAY AVE STE 500, WICHITA, KS 67202-2322
(316) 284-6400
(316) 284-6491
Mailing address
200 N BROADWAY AVE STE 500, WICHITA, KS 67202-2322
(316) 516-2758
(316) 425-7779
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5390
KS
Other
Enumeration date
11/18/2005
Last updated
06/24/2024
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