Shepard, Kelajah

Shepard, Kelajah is an sole proprietor health care provider with primary practice located at 2847 Teasley Dr , Pearl MS 39208-5849. He recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Doula, Other Service Providers / Health Educator, Other Service Providers / Community Health Worker. Other Service Providers / Health Educator is his primary health care specialty. Shepard, Kelajah can be contacted via phone (601) 278-6796.

Contact Information

Primary practice address
2847 Teasley Dr Pearl MS 39208-5849
Phone: (601) 278-6796
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Doula 374J00000X
Other Service Providers / Health Educator 174H00000X Mississippi
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1508566910
LBN Legal business name Shepard, Kelajah
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2023
Last updated Mar 6th, 2023 - about 2 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 1508566910 NPPES
Maine Other 568946544 BCBS
Maine Other 5874 BCBS
Maine MEDICAID 236 BCBS

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