MEDICARE: KENNETH A SCHEPPKE MD

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	207P00000X	Emergency Medicine Physician	ME 68624	FL
2	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	ME68624	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669418398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH A SCHEPPKE MD

Provider Business Mailing Address
First Line	:	PO BOX 2764
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33468-2764
Country	:	US
Telephone Number	:	561-743-9245
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 PIKE RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-3815
Country	:	US
Telephone Number	:	561-616-7000
Fax Number	:

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

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	01/19/2023

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Directions to “ KENNETH A SCHEPPKE MD” Practice Location

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