Provider Demographics
NPI:1114122082
Name:KEPPEL, LOWELL JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:LOWELL
Middle Name:JOSEPH
Last Name:KEPPEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 W 92ND AVE
Mailing Address - Street 2:
Mailing Address - City:FEDERAL HEIGHTS
Mailing Address - State:CO
Mailing Address - Zip Code:80260-5811
Mailing Address - Country:US
Mailing Address - Phone:303-427-2414
Mailing Address - Fax:303-427-5719
Practice Address - Street 1:2800 W 92ND AVE
Practice Address - Street 2:
Practice Address - City:FEDERAL HEIGHTS
Practice Address - State:CO
Practice Address - Zip Code:80260-5811
Practice Address - Country:US
Practice Address - Phone:303-427-2414
Practice Address - Fax:303-427-5719
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2350111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO22363Medicare ID - Type Unspecified