Individual
EDWARD A KEPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
232 CONCORD RD, ALBEMARLE, NC 28001-4612
(704) 986-3900
(704) 986-3913
Mailing address
232 CONCORD RD, ALBEMARLE, NC 28001-4612
(704) 986-3900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
94-00873
NC
207R00000X
Internal Medicine Physician
Primary
9400873
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14074
BCBS
NC
01
—
47986
BCBS OF NC
NC
05
—
8947986
—
NC
Enumeration date
03/25/2006
Last updated
03/17/2021
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