Dr. Walter Neal Shepherd
Periodontist
3285 Blazer Parkway Suite 110
Lexington
, Kentucky 40509
Dr. Walter Neal Shepherd
Periodontist
3285 Blazer Parkway Suite 110
Lexington
, Kentucky 40509
(859) 264-1855
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Walter Neal Shepherd
- 3285 Blazer Parkway Suite 110
- Lexington, KY
- Zip : 40509
- Fax : (859) 264-1855
- Phone : (859) 264-1854
Second Address
- Dr. Walter Neal Shepherd
- 3285 Blazer Parkway Suite 110
- Lexington, KY
- Zip : 40509
- Fax : (859) 264-1855
- Phone : (859) 264-1854
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 8255 | KY |
National Provider Identifier
| NPI | 1023130275 |
|---|---|
| Provider Name | Dr. Walter Neal Shepherd |
| First Address | Lexington, KY 40509 |
| Second Address | Lexington, KY 40509 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/04/2007 |
| Last Update Date | 02/05/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.