Individual
EDWARD L KEPPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 N WABASH, SUITE G20, MARION, IN 46952-2555
(765) 660-7600
(765) 651-7313
Mailing address
330 N WABASH, SUITE 370, MARION, IN 46952-2678
(765) 660-7500
(765) 662-3411
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01026272
IN
208600000X
Surgery Physician
Primary
01031244A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000751385
ANTHEM
IN
05
—
100377800
—
IN
Enumeration date
06/01/2005
Last updated
12/26/2014
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