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General NPI Number Information
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NPI Number | 1801118492
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Entity Type | Organization
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Legal Business Name | BRIAN KEPLINGER, O.D., PSC
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Dates
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Enumeration Date | 02/23/2010
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Last Update Date | 02/23/2010
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Provider Practice Location Address
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Address Line | 15 GRANDVIEW DR SUITE F
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City | FRANKFORT
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State | KY
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Zip | 40601-3235
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Country | US
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Telephone | 502-695-1771
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Fax | 502-695-1448
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Provider Business Mailing Address
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Address Line | 15 GRANDVIEW DR SUITE F
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City | FRANKFORT
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State | KY
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Zip | 40601-3235
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Country | US
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Telephone | 502-695-1771
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Fax | 502-695-1448
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Authorized Official
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Title or Position | PRESIDENT/ OPTOMETRIST
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Name | BRIAN LEIGH KEPLINGER
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Credential | O.D.
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Telephone | 502-695-1771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1484-DT
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License Number State | KY
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