Individual
JEFFREY A KEPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
317 S ELM ST STE 205A, OWOSSO, MI 48867-2636
(989) 729-4317
(989) 725-9979
Mailing address
317 S ELM ST STE 205A, OWOSSO, MI 48867-2636
(989) 729-4317
(989) 725-9979
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
4301501309
MI
2080P0201X
Pediatric Allergy/Immunology Physician
4301501309
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316334253
—
MI
Enumeration date
04/17/2015
Last updated
07/03/2024
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