Provider Demographics
NPI:1083223770
Name:KEPLEY, HALEY JOANN
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:JOANN
Last Name:KEPLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7320 HIGHWAY 39
Mailing Address - Street 2:
Mailing Address - City:CHANUTE
Mailing Address - State:KS
Mailing Address - Zip Code:66720-5300
Mailing Address - Country:US
Mailing Address - Phone:620-212-8468
Mailing Address - Fax:
Practice Address - Street 1:7320 HIGHWAY 39
Practice Address - Street 2:
Practice Address - City:CHANUTE
Practice Address - State:KS
Practice Address - Zip Code:66720-5300
Practice Address - Country:US
Practice Address - Phone:620-212-8468
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-28
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5381527022363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily