| Doctor Name: | SPENCER A KEPNER |
| NPI Number: | 1114969318 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | OA-000094-L |
| Business Practice Address: | Hc 63 Box 48c Mifflintown, PA - 170599049 |
| Business Phone Number: | 7174365578 |
| Business Fax Number: | 7174365911 |
| Mailing Address: | Po Box 67, MIFFLINTOWN |
| State: | PA |
| Postal Code: | 170590067 |
| Phone Number: | 7174365578 |
| Fax Number: | 7174365911 |
| NPI Enumeration Date: | 06/12/2006 |
| NPI Last Update Date: | 02/12/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | OA-000094-L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |