MARK L SHEPHERD

LOUISVILLE, KY
NPI1154756294
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3008170)
Enumeration Date2013-09-09
Last Update Date2023-03-03
Business Address
MARK L SHEPHERD APRN
7926 PRESTON HWY STE. 106
LOUISVILLE, KY 40219-3848
Phone number: 502-964-4357
Mailing Address
MARK L SHEPHERD APRN
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490