Kyle Shepperson in Maryville - Orthopaedic Surgery
Kyle Shepperson - NPI 1407831704
Kyle Shepperson is a Orthopaedic Surgery in Maryville, Illinois. Kyle Shepperson practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Kyle Shepperson is 1407831704. The last update date is 2020-03-17.
Kyle Shepperson's current location address is 6810 State Route 162 Box 215, Maryville, Illinois. You can contact this provider via phone number 6183916405 and fax number 6182884088. The mailing address for Kyle Shepperson is 6810 State Route 162 Box 215, Maryville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kyle Shepperson |
|---|---|
| Address | 6810 State Route 162 Box 215, Maryville, Illinois |
| Phone Number | 6183916405 |
| Fax Number | 6182884088 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1407831704 |
|---|---|
| Provider Enumeration Date | 2005-12-08 |
| Last Updated Date | 2020-03-17 |
Provider Mailing Address Detail
| Address | 6810 State Route 162 Box 215 |
|---|---|
| City | Maryville |
| State | Illinois (IL) |
| Post Code | 620628501 |
| Phone Number | 6183916405 |
| Fax Number | 6182884088 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | 36108702 |
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Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36108702 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kyle Shepperson by the Centers for Medicare & Medicaid Services?
The Kyle Shepperson has been issued the NPI (National Provider Identifier) 1407831704, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kyle Shepperson is physically located?
The Kyle Shepperson is situated at the following address: 6810 State Route 162 Box 215, Maryville, IL 620628501.
What is the Kyle Shepperson's specialty and taxonomy code?
The Kyle Shepperson's specialty is Orthopaedic Surgery, and the corresponding taxonomy code is 207X00000X.
On what date did Kyle Shepperson receive its 1407831704 assignment from the Centers for Medicare & Medicaid Services?
The Kyle Shepperson was assigned its 1407831704 on 2005-12-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kyle Shepperson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kyle Shepperson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-03-17.