Healthcare Provider Details

I. General information

NPI: 1235108119
Provider Name (Legal Business Name): LOUIS KEPPLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 10/23/2024
Certification Date: 10/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 ALLEN BRADLEY DR STE 200
MAYFIELD HEIGHTS OH
44124-6130
US

IV. Provider business mailing address

300 ALLEN BRADLEY DR STE 200
MAYFIELD HEIGHTS OH
44124-6130
US

V. Phone/Fax

Practice location:
  • Phone: 844-746-8537
  • Fax: 440-431-3172
Mailing address:
  • Phone: 844-746-8537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number35049110
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: