Individual
KATIE L KEPNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
109 FOREST HILLS DR, SUITE 10, GARNER, NC 27529-3690
(919) 781-4060
(919) 863-6990
Mailing address
3515 GLENWOOD AVE, RALEIGH, NC 27612-4934
(919) 781-4060
(919) 781-5246
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10389
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067WX
BLUE CROSS BLUE SHIELD OF
NC
Enumeration date
06/07/2006
Last updated
04/14/2009
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