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NPI Code Detail

MEDICARE: KEPLER ENTERPRISES, LLC

MEDICARE: KEPLER ENTERPRISES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1396792883
Entity Type Code : Organization
Provider Name (Legal Business Name) : KEPLER ENTERPRISES, LLC
Provider Business Mailing Address
First Line : 625 NW 22ND ST
Second Line :
City : GAINESVILLE
State : FL
Zip : 32603-1422
Country : US
Telephone Number : 352-538-2208
Fax Number : 352-505-6753
Provider Business Practice Location Address
First Line : 800 ZEAGLER DR
Second Line :
City : PALATKA
State : FL
Zip : 32177-3867
Country : US
Telephone Number : 386-325-4077
Fax Number : 386-312-0938
Authorized Official
Title or Position : PRESIDENT
Name : KENNETH C KEPLER JR.
Credential :
Telephone Number : 352-538-2208
Provider Enumeration Date : 05/28/2006
Last Update Date : 08/22/2020

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Directions to “KEPLER ENTERPRISES, LLC ” Practice Location

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