Kyle Keppel, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL011943 Issued in PA

Practice address

1883 Shumway Hill Rd
Wellsboro, PA 16901-6840

Phone

(570) 724-5270

NPI assigned

Aug 22, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1043619364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 VALLEY HEIGHTS DR",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011923",
            "telephone_number": "814-853-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 SHUMWAY HILL RD",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169016840",
            "telephone_number": "570-724-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPPEL",
        "first_name": "KYLE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL011943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerin Johnson, RN
• Zara Johnson, LSW
• Koryn Amanda Johnston, D.O.
• Mary Caitlin Jones, DPT
• Joseph Kaplan, MD
• Kayla Nicole Kern, COTA/L
• Alexis Knowlden, LAT, ATC
• Craig S Konzen, RPH
• Keith K. Koons, CAC
• Karen Kotz, PT

• Speech-Language Pathologist in Wellsboro, PA
• Providers in Wellsboro, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.