MEDICARE: KEPLER ENTERPRISES, LLC

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1396792883
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEPLER ENTERPRISES, LLC

Provider Business Mailing Address
First Line	:	625 NW 22ND ST
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32603-1422
Country	:	US
Telephone Number	:	352-538-2208
Fax Number	:	352-505-6753

Provider Business Practice Location Address
First Line	:	800 ZEAGLER DR
Second Line	:
City	:	PALATKA
State	:	FL
Zip	:	32177-3867
Country	:	US
Telephone Number	:	386-325-4077
Fax Number	:	386-312-0938

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KENNETH C KEPLER JR.
Credential	:
Telephone Number	:	352-538-2208

Provider Enumeration Date	:	05/28/2006
Last Update Date	:	08/22/2020

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Directions to “KEPLER ENTERPRISES, LLC ” Practice Location

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