Individual
MADELINE JANE KEPNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
935 HERITAGE DR, ELVERSON, PA 19520-9324
(610) 286-0312
Mailing address
345 E 24TH ST, NEW YORK, NY 10010-4020
(212) 998-9800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS044818
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2023
Last updated
07/24/2024
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