Provider Demographics
NPI:1225101983
Name:KAPPES, RICHARD (DC)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:KAPPES
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 1:6000 LAUREL BOWIE RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-4000
Mailing Address - Country:US
Mailing Address - Phone:301-352-3454
Mailing Address - Fax:301-352-0893
Practice Address - Street 1:6000 LAUREL BOWIE RD
Practice Address - Street 2:SUITE 202
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-4000
Practice Address - Country:US
Practice Address - Phone:301-352-3454
Practice Address - Fax:301-352-0893
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01654111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD542313-01OtherBCBS MARYLAND
MDF015-0001OtherBCBS DC
MD542313-01OtherBCBS MARYLAND
MDF015-0001OtherBCBS DC