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NPI Code Detail

MEDICARE: MR. ADAM CHARLES CHRISTIAN KEPLINGER

MEDICARE: MR. ADAM CHARLES CHRISTIAN KEPLINGER
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
1225100000XPhysical Therapist12954MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A1532OTHERMNSTATE LICENSE NUMBER

General Provider Information

NPI Number : 1366713950
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ADAM CHARLES CHRISTIAN KEPLINGER
Provider Business Mailing Address
First Line : 2520 PILOT KNOB RD
Second Line :
City : MENDOTA HEIGHTS
State : MN
Zip : 55120-1137
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2520 PILOT KNOB RD
Second Line :
City : MENDOTA HEIGHTS
State : MN
Zip : 55120-1137
Country : US
Telephone Number : 651-224-8264
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2012
Last Update Date : 02/16/2023

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