Individual
DR. BRADLEY P KEPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
25 JOHNSON AVE, DILLON, MT 59725-3323
(406) 683-2020
(406) 683-6409
Mailing address
25 JOHNSON AVE, DILLON, MT 59725-3323
(406) 683-2020
(406) 683-6409
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
721OPT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000027601
BCBS MT
MT
05
—
048-3038
—
MT
Enumeration date
10/19/2006
Last updated
05/17/2012
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