Most Relevant Information
Provider Data
| NPI Number: | 1003225566 |
| Provider Name: | LEONARD SHEPHERD M.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | L046364 |
Most Important Dates
| Enumeration Date: | 08/09/2014 |
| Last Updated: | 04/18/2017 |
Provider Practice Location
6216 S LEWIS AVE STE 180
TULSA
OK
741361077
Practice Location Phone/Fax
| Phone: | 9188126010 |
| Fax: |
Provider Mailing Location
4300 ROGERS AVE STE 20
FORT SMITH
AR
729033152
Provider Mailing Phone/Fax
| Phone: | 4792768871 |
| Fax: |