Provider Demographics
NPI:1477852309
Name:ORLANDO-KEPNER, DANIELLE LEIGH (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:LEIGH
Last Name:ORLANDO-KEPNER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2409 ROCHELLE DR
Mailing Address - Street 2:
Mailing Address - City:FALLSTON
Mailing Address - State:MD
Mailing Address - Zip Code:21047-2211
Mailing Address - Country:US
Mailing Address - Phone:410-459-3264
Mailing Address - Fax:
Practice Address - Street 1:516 BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4330
Practice Address - Country:US
Practice Address - Phone:410-638-2424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-17
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS02037111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1477852309OtherNPI