Provider Demographics
NPI:1346428687
Name:KEPPLE, RICHARD NEWTON
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:NEWTON
Last Name:KEPPLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7300 WHIPPLE AVE NW
Mailing Address - Street 2:SUITE 6
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720
Mailing Address - Country:US
Mailing Address - Phone:330-497-4422
Mailing Address - Fax:330-494-0371
Practice Address - Street 1:7300 WHIPPLE AVE NW
Practice Address - Street 2:SUITE 6
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720
Practice Address - Country:US
Practice Address - Phone:330-497-4422
Practice Address - Fax:330-494-0371
Is Sole Proprietor?:No
Enumeration Date:2008-02-08
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35038205K207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine