Provider Demographics
NPI:1255675310
Name:KEPLER FAMILY CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:KEPLER FAMILY CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:DEE
Authorized Official - Last Name:KEPLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-438-2090
Mailing Address - Street 1:4727 N 26TH ST
Mailing Address - Street 2:STE. D
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-4706
Mailing Address - Country:US
Mailing Address - Phone:402-438-2090
Mailing Address - Fax:402-438-4750
Practice Address - Street 1:4727 N 26TH ST
Practice Address - Street 2:STE. D
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-4706
Practice Address - Country:US
Practice Address - Phone:402-438-2090
Practice Address - Fax:402-438-4750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1232261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1174665533OtherTYPE 1 NPI