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Contact Information

KYLE SHEPARD, DO
25 MAIN ST
STOCKBRIDGE, MA01262
 Phone: 800-517-4447
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for KYLE SHEPARD · (Male)

NPI # 1750738688
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/20/2016
Last updated 02/08/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 61969
  • MA License # 283369
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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