Organization
FREDERICK L. KEPPEL M.D. P.M.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK L. KEPPEL M.D. (MEDICAL DOCTOR)
(985) 641-9855
Entity
Organization
Contact information
Practice address
1150 ROBERT BLVD, 100, SLIDELL, LA 70458-2004
(985) 641-9855
Mailing address
1150 ROBERT BLVD, 100, SLIDELL, LA 70458-2004
(985) 641-9855
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
016223
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1358517
—
LA
Enumeration date
07/23/2008
Last updated
07/23/2008
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