Individual
KYLE KEPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
1883 SHUMWAY HILL RD, WELLSBORO, PA 16901-6840
(570) 724-5270
Mailing address
22 VALLEY HEIGHTS DR, WILLIAMSPORT, PA 17701-1923
(814) 853-1066
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011943
PA
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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