Kepros, Theodore John

Kepros, Theodore John is an individual health care provider with primary practice located at 108 1St St Se , Mount Vernon IA 52314-1465. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Kepros, Theodore John can be contacted via phone (319) 895-4085.

Contact Information

Primary practice address
108 1St St Se Mount Vernon IA 52314-1465
Phone: (319) 895-4085
Fax: (319) 895-8013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 02336 Iowa

Profile Details

NPI number 1639274228
LBN Legal business name Kepros, Theodore John
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Sep 3rd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639274228 NPPES
Iowa MEDICAID 0665430

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