Healthcare Provider Details
I. General information
NPI: 1407253081
Provider Name (Legal Business Name): MEGAN L. KEPLEY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/26/2014
Last Update Date: 03/04/2021
Certification Date: 03/04/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1112 S MAIN ST STE 7
FRANKLIN KY
42134-2371
US
IV. Provider business mailing address
1112 S MAIN ST STE 7
FRANKLIN KY
42134-2322
US
V. Phone/Fax
- Phone: 270-745-7246
- Fax: 270-282-2027
- Phone: 270-745-7246
- Fax: 270-282-2027
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 3008860 |
| License Number State | KY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | 3008860 |
| License Number State | KY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: