| Organization Name: | MARC KEPNER LLC |
| NPI Number: | 1003257189 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARC D KEPNER (MGRM) |
| Mailing Address: | 9224 Nw 59th Ln Gainesville |
| State: | FL US |
| Postal Code: | 326532880 |
| Phone Number: | 3522268210 |
| Fax Number: | |
| NPI Enumeration Date: | 07/17/2013 |
| NPI Last Update Date: | 07/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PY8035 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |