Search › Missouri › 207Q00000X
Jacob Shepherd, MD
NPI 1730574963 · on the registry since 2015 · sole proprietor
Practice
- Address
- 331 Sijen Ave
Whiteman Afb, MO 65305 - Phone
- (660) 287-2180
- Organisation at this address
- 509th Medgrp-Whiteman
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 49
Additional practice sites
- 4401 Wornall Rd, Kansas City, MO
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 171000000X
208M00000X - Licence states on file
- IA, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-02-16
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 Missouri