MEDICARE: MISS KRISTIN J KEPLER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	15408	FL

General Provider Information

NPI Number	:	1275881468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS KRISTIN J KEPLER

Provider Business Mailing Address
First Line	:	8471 SW 12TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-4119
Country	:	US
Telephone Number	:	786-444-7581
Fax Number	:

Provider Business Practice Location Address
First Line	:	8471 SW 12TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33144-4119
Country	:	US
Telephone Number	:	786-444-7581
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2012
Last Update Date	:	08/21/2012

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