Healthcare Provider Details

I. General information

NPI: 1255675310
Provider Name (Legal Business Name): KEPLER FAMILY CHIROPRACTIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2012
Last Update Date: 11/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

4727 N 26TH ST STE. 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 Code261Q00000X
TaxonomyClinic/Center
License Number1232
License Number StateNE

VIII. Authorized Official

Name: DR. SHANE DEE KEPLER
Title or Position: OWNER/CHIROPRACTOR
Credential: D.C.
Phone: 402-438-2090