Individual
JESSICA M KEPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4655 STATE AVE, KANSAS CITY, KS 66102-3603
(913) 287-7977
(913) 287-5022
Mailing address
4655 STATE AVE, KANSAS CITY, KS 66102-3601
(913) 287-7977
(913) 287-5022
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60990
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366880213
—
MO
05
—
201072700C
—
KS
01
—
2891559
UNITED CONCORDIA
KS
Enumeration date
06/12/2013
Last updated
03/26/2015
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