| Kimberly F Vepley | |
|
26722 W Stonegate Dr Antioch IL 60002-9698 | |
| (262) 755-8641 | |
| Not Available |
| Full Name | Kimberly F Vepley |
|---|---|
| Speciality | Social Worker |
| Location | 26722 W Stonegate Dr, Antioch, Illinois |
| Authorized Official Name and Position | Kimberly F Vepley (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2627558641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly F Vepley 693 Bluebill Ln Genoa City WI 53128-2524 Ph: () - | Kimberly F Vepley 26722 W Stonegate Dr Antioch IL 60002-9698 Ph: (262) 755-8641 |
| NPI Number | 1235832569 |
|---|---|
| Provider Enumeration Date | 03/24/2023 |
| Last Update Date | 08/30/2024 |
| Certification Date | 08/30/2024 |
| Medicare PECOS PAC ID | 4284009101 |
|---|---|
| Medicare Enrollment ID | O20230406002335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235832569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kimberly Vepley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275073298 PECOS PAC ID: 5496032559 Enrollment ID: I20230406000956 |
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