Sheppard, Kathleen Jo
Sheppard, Kathleen Jo is an individual health care provider with primary practice located at 727 Se Main St Ste 300 , Simpsonville SC 29681-3249. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sheppard, Kathleen Jo can be contacted via phone (864) 522-1170.Contact Information
Primary practice address
727 Se Main St Ste 300
Simpsonville SC 29681-3249
Phone: (864) 522-1170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1718 | South Carolina |
Profile Details
| NPI number | 1831384619 |
|---|---|
| LBN Legal business name | Sheppard, Kathleen Jo |
| Credentials | RN, FNPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2007 |
| Last updated | Mar 18th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831384619 | NPPES |
| South Carolina | Other | P01072950 | RR MEDICARE |
| South Carolina | MEDICAID | NP0643 | RR MEDICARE |
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