Individual
DR. GREGORY S. KEPPEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
201 MAIN ST., STOCKERTOWN, PA 18083
(610) 746-3000
(610) 746-3000
Mailing address
201 MAIN ST., PO BOX 157, STOCKERTOWN, PA 18083
(610) 746-3000
(610) 746-3000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC4420L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003446
HIGHMARK BLUE SHIELD
PA
01
—
1034997
ASHN
PA
01
—
11357835
CAQH
PA
01
—
50004042
CAPITAL BLUE CROSS
PA
01
—
P3385922
OXFORD
PA
Enumeration date
01/12/2006
Last updated
07/08/2007
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