Individual
MS. RACHAEL A SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10021 N MAYWOOD AVE, KANSAS CITY, MO 64157-9670
(816) 591-7319
Mailing address
10021 N MAYWOOD AVE, KANSAS CITY, MO 64157-9670
(816) 591-7319
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
116495
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
43-557169-051
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910106400
—
MO
Enumeration date
03/24/2006
Last updated
12/06/2021
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