Individual
KATELYN BRIANNE SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1863 5300 RD, COFFEYVILLE, KS 67337
(620) 251-4145
Mailing address
803 2ND ST, OSWEGO, KS 67356-1206
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-103742
KS
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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