Shepard, Kanessia
Shepard, Kanessia is an sole proprietor health care provider with primary practice located at 9716 Lake Pointe Ct Apt 101 , Upper Marlboro MD 20774-4714. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Shepard, Kanessia can be contacted via phone (240) 788-7089.Contact Information
Primary practice address
9716 Lake Pointe Ct Apt 101
Upper Marlboro MD 20774-4714
Phone: (240) 788-7089
Fax: (240) 788-7089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 05330 | Maryland |
Profile Details
| NPI number | 1992781868 |
|---|---|
| LBN Legal business name | Shepard, Kanessia |
| Credentials | MA, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2005 |
| Last updated | Sep 22nd, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992781868 | NPPES |
| North Carolina | Other | 141EN | NC BCBS |
| North Carolina | MEDICAID | 7412441 | NC BCBS |
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