Kimberly G Shepard in San Jose - Otolaryngology
Kimberly G Shepard - NPI 1720183395
Kimberly G Shepard is a Otolaryngology in San Jose, California. Kimberly G Shepard practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Kimberly G Shepard is 1720183395. The last update date is 2007-09-12.
Kimberly G Shepard's current location address is 751 S Bascom Ave, San Jose, California. You can contact this provider via phone number 4088856767. The mailing address for Kimberly G Shepard is 751 S Bascom Ave, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly G Shepard |
|---|---|
| Address | 751 S Bascom Ave, San Jose, California |
| Phone Number | 4088856767 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720183395 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2007-09-12 |
Provider Mailing Address Detail
| Address | 751 S Bascom Ave |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951282604 |
| Phone Number | 4088856767 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | G75979 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G759790 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kimberly G Shepard by the Centers for Medicare & Medicaid Services?
The Kimberly G Shepard has been assigned the NPI (National Provider Identifier) 1720183395 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Kimberly G Shepard is physically located?
The Kimberly G Shepard is physically situated at the following address: 751 S Bascom Ave, San Jose, CA, 951282604.
What is the Kimberly G Shepard's area of specialization and corresponding taxonomy classification?
The Kimberly G Shepard's specialty field is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their specialties.
When did Kimberly G Shepard receive its 1720183395 assignment?
The Kimberly G Shepard was assigned its 1720183395 on 2006-09-14, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Kimberly G Shepard most recently updated or revised?
The details related to Kimberly G Shepard, including its address, specialty, and other relevant information, were last updated or revised on 2007-09-12.