Individual provider · Type 1 NPI

Kyle Shepperson, MD

Orthopaedic Surgery Physician · Maryville, IL

NPI number 1407831704 Active

Practice location

6810 State Route 162, Suite 10
Maryville, IL 62062

Fax (618) 288-7983

Mailing address

6810 State Route 162 Box 215
Maryville, IL 62062-8501

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician Primary 207X00000X036108702 (IL)

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1407831704

Kyle Shepperson, MD's National Provider Identifier is 1407831704, issued on Dec 8, 2005. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Maryville, IL. The record was last updated on Mar 17, 2020.