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KENNETH B SHEPHARD MD PA NPI 1780078477


NPI Information

NPI: 1780078477
Provider Name: KENNETH B SHEPHARD MD PA
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
8501 SW 124TH AVE
206
MIAMI, FL
ZIP 33183
Phone: (305) 273-1919
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KENNETH B SHEPHARD MD PA is an endocrinology and diabetes and metabolism internal medicine in Miami, FL. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. KENNETH B SHEPHARD MD PA NPI is 1780078477. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8501 SW 124TH AVE
206
MIAMI, FL
ZIP 33183-627
Phone: (305) 273-1919
Fax: (305) 273-1929

The provider's authorized official is Ann Theisen .
The authorized official title is Acct and has the following contact phone number (786) 475-3971.

The enumeration date for this NPI number is 3/20/2015 and was last updated on 7/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismME61784FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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