Individual
MR. KURT K JEPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
400 NORTH ST, SUITE #2, SACO, ME 04072-1867
(207) 282-7121
(207) 282-0073
Mailing address
400 NORTH ST, SUITE #2, SACO, ME 04072-1867
(207) 282-7121
(207) 282-0073
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7369
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005137
BC/BS OF MAINE
ME
01
—
08Y003796ME01
BC/BS OF NH
ME
Enumeration date
07/22/2005
Last updated
05/21/2013
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