Search › Mississippi › 174H00000X
Kelajah Shepard
NPI 1508566910 · on the registry since 2023 · sole proprietor
Practice
- Address
- 2847 Teasley Dr
Pearl, MS 39208 - Phone
- (601) 278-6796
Registry record
- Primary taxonomy
- 174H00000X
174H00000X
- Also registered as
- 374J00000X
172V00000X - Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi