Provider Demographics
NPI:1760642797
Name:KEPLINGER, SWEET-CHARITY MAY (PA)
Entity type:Individual
Prefix:MRS
First Name:SWEET-CHARITY
Middle Name:MAY
Last Name:KEPLINGER
Suffix:
Gender:
Credentials:PA
Other - Prefix:
Other - First Name:CHARITY
Other - Middle Name:
Other - Last Name:KEPLINGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DHSC, MPAS, PA-C
Mailing Address - Street 1:1003 ROCKY TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:GARDNERVILLE
Mailing Address - State:NV
Mailing Address - Zip Code:89460-9744
Mailing Address - Country:US
Mailing Address - Phone:609-972-6880
Mailing Address - Fax:
Practice Address - Street 1:1003 ROCKY TERRACE DR
Practice Address - Street 2:
Practice Address - City:GARDNERVILLE
Practice Address - State:NV
Practice Address - Zip Code:89460-9744
Practice Address - Country:US
Practice Address - Phone:609-972-6880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1082447363AM0700X
CAPA22088363AM0700X
NVPA2428363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical