Individual
CHRISTIE LYNN KEPPLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
26 E MEADOW ST, SUITE 9, FAYETTEVILLE, AR 72701-5320
(479) 305-2487
Mailing address
PO BOX 198, FAYETTEVILLE, AR 72702-0198
(479) 305-2487
(479) 439-8700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1711-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5X008
BLUE SHIELD PROVIDER #
AR
Enumeration date
06/03/2006
Last updated
08/26/2010
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