Sheppard, Kendra Dionne

Sheppard, Kendra Dionne is an individual health care provider with primary practice located at 1056 E Raines Rd , Memphis TN 38116-6337. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Sheppard, Kendra Dionne can be contacted via phone (901) 300-5777.

Contact Information

Primary practice address
1056 E Raines Rd Memphis TN 38116-6337
Phone: (901) 300-5777
Fax: (901) 422-6092
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 28922 Alabama
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 28922 Alabama
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 61176 Tennessee

Profile Details

NPI number 1760518658
LBN Legal business name Sheppard, Kendra Dionne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Nov 30th, 2021 - about 3 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 1760518658 NPPES
Mississippi MEDICAID 08752708
Mississippi Other P00894317
Mississippi MEDICAID 114406
Mississippi MEDICAID 114403
Mississippi MEDICAID 114416
Mississippi Other 051100368
Mississippi MEDICAID 114409
Mississippi MEDICAID 130354

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