Individual
MS. KAYON SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR REPLACEMENT TE
Contact information
Practice address
7837 W SAMPLE RD STE 127, CORAL SPRINGS, FL 33065-4751
(954) 951-4310
Mailing address
7837 W SAMPLE RD STE 127, CORAL SPRINGS, FL 33065-4751
(954) 951-4310
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
224P00000X
Prosthetist
—
FL
224P00000X
Prosthetist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47-2338905
—
FL
Enumeration date
11/15/2018
Last updated
01/20/2026
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