Loughlin-, Kelly Sheppard

Loughlin-, Kelly Sheppard is an individual health care provider with primary practice located at 18865 Vista Portola , Trabuco Canyon CA 92679-1101. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Loughlin-, Kelly Sheppard can be contacted via phone (760) 641-4129.

Contact Information

Primary practice address
18865 Vista Portola Trabuco Canyon CA 92679-1101
Phone: (760) 641-4129
Fax: (760) 641-4129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 2031-0259 California
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 852172 Texas
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 852172 California

Profile Details

NPI number 1346489218
LBN Legal business name Loughlin-, Kelly Sheppard
Credentials MS, RDN, CDCES
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2009
Last updated Mar 7th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346489218 NPPES
California Other 2031-0259 CDE
California Other 852172 CDE

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