| Doctor Name: | KALA M SHEPHERD |
| NPI Number: | 1457670853 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | CP000595 |
| Business Practice Address: | 300 S Byron Blvd Chamberlain, SD - 573259741 |
| Business Phone Number: | 6052346551 |
| Business Fax Number: | 6052347260 |
| Mailing Address: | Po Box 5074, SIOUX FALLS |
| State: | SD |
| Postal Code: | 571175074 |
| Phone Number: | 6053286585 |
| Fax Number: | 6053286512 |
| NPI Enumeration Date: | 05/25/2010 |
| NPI Last Update Date: | 03/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | CP000595 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |