MEDICARE: DR. KELI DENISE KEPLER DC

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
1	111N00000X	Chiropractor	CH60178626	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	338905	OTHER	WA	LABOR AND INDUSTRY

General Provider Information

NPI Number	:	1427010792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KELI DENISE KEPLER DC

Provider Business Mailing Address
First Line	:	2223 N 56TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-6203
Country	:	US
Telephone Number	:	206-547-9944
Fax Number	:	206-547-1323

Provider Business Practice Location Address
First Line	:	2223 N 56TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-6203
Country	:	US
Telephone Number	:	206-547-9944
Fax Number	:	206-547-1323

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	10/20/2017

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