Provider Demographics
NPI:1528327442
Name:SHEPHERD, KATHERINE LUTHEY (DO)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:LUTHEY
Last Name:SHEPHERD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MS
Other - First Name:KATHERINE
Other - Middle Name:ALEXANDA
Other - Last Name:LUTHEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5300 N INDEPENDENCE AVE
Mailing Address - Street 2:SUITE 280
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5556
Mailing Address - Country:US
Mailing Address - Phone:405-657-3825
Mailing Address - Fax:405-657-3824
Practice Address - Street 1:4833 INTEGRIS PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-8864
Practice Address - Country:US
Practice Address - Phone:405-657-3825
Practice Address - Fax:405-657-3824
Is Sole Proprietor?:No
Enumeration Date:2012-05-11
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5438207V00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program