| Branches Of Life | |
|
1 Fleetwood Dr Winfield KS 67156-5429 | |
| (620) 229-2442 | |
| Not Available |
| Full Name | Branches Of Life |
|---|---|
| Speciality | Social Worker |
| Location | 1 Fleetwood Dr, Winfield, Kansas |
| Authorized Official Name and Position | Sharon S Shepard (MEMBER MANAGER) |
| Authorized Official Contact | 6202292442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Branches Of Life 1 Fleetwood Dr Winfield KS 67156-5429 Ph: (620) 229-2442 | Branches Of Life 1 Fleetwood Dr Winfield KS 67156-5429 Ph: (620) 229-2442 |
| NPI Number | 1114386810 |
|---|---|
| Provider Enumeration Date | 02/23/2016 |
| Last Update Date | 02/23/2016 |
| Medicare PECOS PAC ID | 0648578344 |
|---|---|
| Medicare Enrollment ID | O20160413001346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114386810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2267 (Kansas) | Primary |
| Provider Name | Sharon S Shepard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568555712 PECOS PAC ID: 3577689876 Enrollment ID: I20100923001160 |
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