Kenny R Sheppard in Solana Beach - Chiropractor
Kenny R Sheppard - NPI 1609934934
Kenny R Sheppard is a Chiropractor in Solana Beach, California. Kenny R Sheppard practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kenny R Sheppard is 1609934934. The last update date is 2007-07-08.
Kenny R Sheppard's current location address is 634 Stevens Ave, Solana Beach, California. You can contact this provider via phone number 8583506290 and fax number 8583506775. The mailing address for Kenny R Sheppard is 634 Stevens Ave, Solana Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenny R Sheppard |
|---|---|
| Address | 634 Stevens Ave, Solana Beach, California |
| Phone Number | 8583506290 |
| Fax Number | 8583506775 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1609934934 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 634 Stevens Ave |
|---|---|
| City | Solana Beach |
| State | California (CA) |
| Post Code | 920752422 |
| Phone Number | 8583506290 |
| Fax Number | 8583506775 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 16059 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the Kenny R Sheppard's unique identification number?
The Kenny R Sheppard has been assigned the NPI (National Provider Identifier) Number 1609934934 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Kenny R Sheppard's physical address?
The Kenny R Sheppard is physically located at 634 Stevens Ave, in the city of Solana Beach, CA, with the postal code 920752422.
What is Kenny R Sheppard's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenny R Sheppard's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609934934 to Kenny R Sheppard?
The Centers for Medicare & Medicaid Services originally issued the 1609934934 to Kenny R Sheppard on 2006-12-06.
As of what date were the details pertaining to Kenny R Sheppard last refreshed?
The information related to the Kenny R Sheppard, including its address, specialty, and other relevant details, was last updated on 2007-07-08.