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Individual
MISTI ANNMARIE KEPLER
Active
Individual
MISTI ANNMARIE KEPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10836
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068E4
BCBS ID
NC
01
—
0784P
BCBS GROUP
NC
01
—
250168
MEDICARE ID
NC
01
—
2503655
MEDICARE GROUP
NC
01
—
7200002
MEDICAID GROUP
NC
01
—
720784P
MEDICAID GROUP
NC
Enumeration date
01/18/2007
Last updated
03/10/2008
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