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Individual

FREDERICK L KEPPEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1051 GAUSE BLVD, SUITE 230, SLIDELL, LA 70458
(985) 280-9855
(985) 280-3683
Mailing address
1051 GAUSE BLVD STE 230, SLIDELL, LA 70458-2993
(985) 280-9855
(985) 280-3683

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
16223
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1801020433
NPI SMH PHYSICIAN NETWORK
LA
Enumeration date
10/12/2006
Last updated
01/22/2020
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