DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KYLE SHEPPERSON, MD

Active

KYLE SHEPPERSON, MD is a Orthopaedic Surgery healthcare provider located in MARYVILLE, Illinois. NPI 1407831704 is currently active in the NPPES registry. Verify at CMS.

Orthopaedic Surgery · MARYVILLE, IL

Registration Details

NPI Number
1407831704
Provider Type
Individual
Gender
Male
NPI Issued
Dec 8, 2005 (20.728492784269 yrs)
Last Updated
Mar 17, 2020
License
036108702 (IL)

Practice Information

Address
6810 STATE ROUTE 162
SUITE 10
MARYVILLE, IL, 62062
Browse IL providers · Browse ZIP 62062
Phone
6182882020
Fax
6182887983
Primary Specialty
Orthopaedic Surgery
207X00000X

Other Orthopaedic Surgery Providers in MARYVILLE, IL

Name Credential NPI
DR. BRETT R GREBING MD 1447252978
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.