Brady Kyle Shepherd

NPI #1093586158 in Pocatello, Idaho

Provider Information

NPI Number
1093586158
Entity Type
Individual
Name
Brady Kyle Shepherd
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Jan 9, 2024
Last Updated
Mar 8, 2024

Practice Location

Address
777 HOSPITAL WAY
State
Idaho
ZIP Code
83201-5175
Phone
(208) 239-1000

Specialties & Taxonomy Codes

Specialty
Registered Nurse
Nurse Anesthetist, Certified Registered

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