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Contact Information

KRYSTAL SHEPHARD
208 E. BROADWAY AVE.
ALLEN, OK74825
 Phone: 580-857-2125
 Fax: 580-857-2138
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for KRYSTAL SHEPHARD · (Female)

NPI # 1912365685
Status Active
Credentials
Entity Individual
Enumeration date 02/09/2016
Last updated 02/09/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # 7811
  • OK License # HC7821
  • OK Other 1568582468 NPI
  • OK Other 1841222585 NPI
  • OK Other 1942287339 NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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