Organization
SHEPHERD SURGICAL ASSISTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER YVONNE SHEPHERD (OWNER)
(859) 588-3396
Entity
Organization
Contact information
Practice address
1210 KY HIGHWAY 36 E, CYNTHIANA, KY 41031-7490
(859) 235-3538
Mailing address
2290 ROBINSON UNION RD, CYNTHIANA, KY 41031-5185
(859) 588-3369
(859) 235-3565
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA128
KY
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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