Kristin Sue Shepherd
Pediatrician
7757 W. Deer Valley Road Suite 275
Peoria
, Arizona 85382
Kristin Sue Shepherd
Pediatrician
7757 W. Deer Valley Road Suite 275
Peoria
, Arizona 85382
(623) 878-9150
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Kristin Sue Shepherd
- 7757 W Deer Valley Rd Suite 275
- Peoria, AZ
- Zip : 85382-2118
- Fax : (623) 878-9150
- Phone : (623) 878-2800
Second Address
- Kristin Sue Shepherd
- 7757 W. Deer Valley Road Suite 275
- Peoria, AZ
- Zip : 85382
- Fax : (623) 878-9150
- Phone : (623) 878-2800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 30054 | AZ |
National Provider Identifier
| NPI | 1013016500 |
|---|---|
| Provider Name | Kristin Sue Shepherd |
| First Address | Peoria, AZ 85382-2118 |
| Second Address | Peoria, AZ 85382 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2006 |
| Last Update Date | 24/01/2017 |
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.