Provider Demographics
NPI:1700063286
Name:KEPPEL, GALE CHRISTINE (DC)
Entity Type:Individual
Prefix:
First Name:GALE
Middle Name:CHRISTINE
Last Name:KEPPEL
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 1:3432 WOODHAVEN TRL
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-5063
Mailing Address - Country:US
Mailing Address - Phone:765-455-0552
Mailing Address - Fax:
Practice Address - Street 1:3432 WOODHAVEN TRL
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-5063
Practice Address - Country:US
Practice Address - Phone:765-455-0552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-27
Last Update Date:2008-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001033A111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition