Kaylynn Carissa Shepherd in Morgantown - Clinical
Kaylynn Carissa Shepherd - NPI 1154599074
Kaylynn Carissa Shepherd is a Clinical in Morgantown, . Kaylynn Carissa Shepherd practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kaylynn Carissa Shepherd is 1154599074. The last update date is 2008-02-13.
Kaylynn Carissa Shepherd's current location address is 301 Scott Ave, Morgantown, . You can contact this provider via phone number 3042961731. The mailing address for Kaylynn Carissa Shepherd is 301 Scott Ave, Morgantown, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kaylynn Carissa Shepherd |
|---|---|
| Address | 301 Scott Ave, Morgantown, |
| Phone Number | 3042961731 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1154599074 |
|---|---|
| Provider Enumeration Date | 2008-02-13 |
| Last Updated Date | 2008-02-13 |
Provider Mailing Address Detail
| Address | 301 Scott Ave |
|---|---|
| City | Morgantown |
| State | (WV) |
| Post Code | 265088804 |
| Phone Number | 3042961731 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | DP00939507 |
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What is the unique 10-digit identification code issued to Kaylynn Carissa Shepherd by the Centers for Medicare & Medicaid Services?
The Kaylynn Carissa Shepherd has been assigned the NPI (National Provider Identifier) 1154599074 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Kaylynn Carissa Shepherd's physical address?
The Kaylynn Carissa Shepherd is physically located at 301 Scott Ave, in the city of Morgantown, WV, with the postal code 265088804.
What is Kaylynn Carissa Shepherd's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kaylynn Carissa Shepherd's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Kaylynn Carissa Shepherd receive the assignment of its 1154599074 from the Centers for Medicare & Medicaid Services?
The Kaylynn Carissa Shepherd was issued its 1154599074 by the Centers for Medicare & Medicaid Services on 2008-02-13.
As of what date were the details pertaining to Kaylynn Carissa Shepherd last refreshed?
The information related to the Kaylynn Carissa Shepherd, including its address, specialty, and other relevant details, was last updated on 2008-02-13.