Individual
VINCENT L KEIPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
319 PENNY LN, SUITE B, CONCORD, NC 28025-1221
(704) 403-7780
(704) 403-7781
Mailing address
319 PENNY LN, SUITE B, CONCORD, NC 28025-1221
(704) 403-7780
(704) 403-7781
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21669
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0440082
UNITED HEALTHCARE
NC
01
—
110223581
RAILROAD MEDICARE
NC
01
—
111009
WELLPATH
NC
01
—
232009
MEDICARE OTHER
NC
01
—
26274
MEDCOST ID
NC
01
—
4324689
AETNA ID
NC
01
—
48035
BCBS ID
NC
01
—
566000156
PRACTICE TAX ID
NC
01
—
6042
PARTNERS MEDICARE CHOICE
NC
01
—
8118655
MAMSI ID
NC
05
—
8948035
—
NC
Enumeration date
01/30/2006
Last updated
03/29/2013
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