Individual
KAITLYN KEPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2109 CARBON DR, PONDER, TX 76259-1084
(502) 640-3296
Mailing address
2109 CARBON DR, PONDER, TX 76259-1084
(502) 640-3296
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
109415
TX
Other
Enumeration date
08/23/2025
Last updated
08/23/2025
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