Healthcare Provider Details

I. General information

NPI: 1174665533
Provider Name (Legal Business Name): SHANE D KEPLER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 07/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4727 N 26TH ST SUITE D
LINCOLN NE
68521-4706
US

IV. Provider business mailing address

4727 N 26TH ST SUITE D
LINCOLN NE
68521-4706
US

V. Phone/Fax

Practice location:
  • Phone: 402-438-2090
  • Fax: 402-438-4750
Mailing address:
  • Phone: 402-438-2090
  • Fax: 402-438-4750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1232
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: