Provider Demographics
NPI:1972897361
Name:KEPLEY, KERRA (MD)
Entity Type:Individual
Prefix:
First Name:KERRA
Middle Name:
Last Name:KEPLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14850 QUORUM DR STE 440
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-7001
Mailing Address - Country:US
Mailing Address - Phone:972-422-8223
Mailing Address - Fax:
Practice Address - Street 1:14850 QUORUM DR STE 440
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-7001
Practice Address - Country:US
Practice Address - Phone:972-422-8223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-03
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ8970207L00000X
OK28554207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology