Individual
MS. TOKECA MARIE KEPHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
801 NILE KINNICK DR S, ADEL, IA 50003-2024
(402) 651-0166
Mailing address
516 NILE KINNICK DR S, ADEL, IA 50003-2076
(515) 478-7171
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
098789
IA
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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