Revelstone Family Practice

LBN: Revelstone Family Practice
Revelstone Family Practice is an health care organization with primary practice located at 232 Concord Rd , Albemarle NC 28001-4612. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Revelstone Family Practice can be contacted via phone (704) 986-3900, or through Kepp, Edward Allen via phone (704) 986-3900.

Contact Information

Primary practice address
232 Concord Rd Albemarle NC 28001-4612
Phone: (704) 986-3900
Fax: (704) 986-3913
Website:
Map and Directions
Authorized official contact:
Name: Kepp, Edward Allen Doctor of Medicine (MD)
Phone: (704) 986-3900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9400873 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X

Profile Details

NPI number 1790143436
LBN Legal business name Revelstone Family Practice
DBA Doing business as
Authorized official Kepp, Edward Allen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2016
Last updated Mar 17th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790143436 NPPES
North Carolina MEDICAID 8947986

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