Earnest E Kepler , PA-C
Physician Assistant โข St Augustine, FL
45 Groover Loop Ste 201
St Augustine, FL 320866586
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Earnest Kepler is listed in NPPES under Physician Assistant.
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NPI assigned on October 26, 2007; this date does not establish years in practice.
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Published CMS data list 4,554 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J3301 โ Injection, triamcinolone acetonide, not otherwise specified, 10 mg: 2,156 service units.
- 99213 โ Established patient outpatient office visit: 888 service units.
- 73130 โ X-ray of hand, minimum of 3 views: 236 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 15 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 570 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Tramadol Hcl โ 192 prescription fills, including refills.
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 182 prescription fills, including refills.
- Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) โ 102 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 9 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 80% of clinicians listed under Physician Assistant in St Augustine, FL (2024, 20 clinicians with data). Median for this group: 930. Middle half: 181 to 3,435.
More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: 252. Middle half: 82 to 807.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 4,736 in 2020 to 4,554 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
45 Groover Loop Ste 201
St Augustine, FL 320866586
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 10 distinct additional practice-address records in Fleming Island, FL; Jacksonville, FL; Ponte Vedra Beach, FL and 2 more. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Southeast Orthopedic Specialists Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
1984
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
731 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $141,061 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $101,797 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
581 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$4,148 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $13.78 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
Years since graduation
42 years (graduated 1984)
CMS Doctors and Clinicians data list 1984 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Earnest Kepler has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Earnest Kepler as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in St Augustine and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in St Augustine, FL (2024, 20 clinicians with data). Median for this group: 930. Middle half: 181 to 3,435.
More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: 252. Middle half: 82 to 807.
Medicare-allowed amount
A higher Medicare-allowed amount than 80% of clinicians listed under Physician Assistant in St Augustine, FL (2024, 20 clinicians with data). Median for this group: $69,023. Middle half: $16,773 to $130,926.
A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: $19,984. Middle half: $7,371 to $51,670.
Paid by Medicare
A higher Medicare payment amount than 75% of clinicians listed under Physician Assistant in St Augustine, FL (2024, 20 clinicians with data). Median for this group: $49,785. Middle half: $12,926 to $95,563.
A higher Medicare payment amount than 90% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: $14,814. Middle half: $5,414 to $38,190.
Medicare Part D prescriptions
Fewer Part D prescriptions than 60% of clinicians listed under Physician Assistant in St Augustine, FL (2024, 20 clinicians with data). Median for this group: 677. Middle half: 213 to 1,245.
More Part D prescriptions than 65% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: 270. Middle half: 78 to 825.
Part D drug cost
A lower Part D drug cost than 60% of clinicians listed under Physician Assistant in St Augustine, FL (2024, 20 clinicians with data). Median for this group: $8,035. Middle half: $2,366 to $44,224.
Close to the middle for clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: $5,225. Middle half: $703 to $70,250.
41 active clinicians are listed under Physician Assistant with a practice address in St Augustine, FL (10,260 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in St Augustine
2.4% of these 41 clinicians have the CMS telehealth indicator.
61% of these 41 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services varied from year to year: 4,736 in 2020 and 4,554 in 2024.
- 2020: 4,736
- 2021: 5,862
- 2022: 3,151
- 2023: 4,141
- 2024: 4,554
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Medicare-allowed amount
Medicare-allowed amount decreased 12% from $160,479 in 2020 to $141,061 in 2024.
- 2020: $160,479
- 2021: $225,199
- 2022: $118,748
- 2023: $128,472
- 2024: $141,061
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Paid by Medicare
Paid by Medicare decreased 14% from $118,685 in 2020 to $101,797 in 2024.
- 2020: $118,685
- 2021: $171,281
- 2022: $81,876
- 2023: $94,427
- 2024: $101,797
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 152% from 226 in 2020 to 570 in 2024.
- 2020: 226
- 2021: 285
- 2022: 236
- 2023: 491
- 2024: 570
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30-day fills
30-day fills increased 150% from 232 in 2020 to 581 in 2024.
- 2020: 232
- 2021: 291
- 2022: 236
- 2023: 497
- 2024: 581
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Part D drug cost
Part D drug cost increased 36% from $3,060 in 2020 to $4,148 in 2024.
- 2020: $3,060
- 2021: $3,391
- 2022: $2,320
- 2023: $4,113
- 2024: $4,148
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $90.99 in 2021 to $13.78 in 2025.
- 2021: $90.99
- 2023: $43.45
- 2025: $13.78
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $13.78.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Orthofix Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Physio-Stim | General | $13.78 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
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2,156 | 341 | $4.13 | $0.97 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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888 | 555 | $273.96 | $75.04 |
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73130
X-ray of hand, minimum of 3 views
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236 | 170 | $106.32 | $29.94 |
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20610
Aspiration and/or injection of fluid from large joint
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224 | 156 | $276.23 | $60.20 |
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73030
X-ray of shoulder, minimum of 2 views
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221 | 159 | $100.47 | $28.02 |
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73110
X-ray of wrist, minimum of 3 views
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205 | 111 | $117.21 | $32.82 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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162 | 162 | $338.43 | $92.30 |
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20550
Injection into tendon or ligament
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129 | 96 | $200.00 | $43.11 |
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20600
Aspiration and/or injection of fluid from small joint
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113 | 72 | $176.49 | $46.29 |
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73140
X-ray of finger, minimum of 2 views
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70 | 55 | $109.02 | $30.67 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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44 | 43 | $389.10 | $106.19 |
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73080
X-ray of elbow, minimum of 3 views
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42 | 33 | $94.53 | $25.95 |
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20605
Aspiration and/or injection of fluid from medium joint
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27 | 26 | $167.35 | $43.45 |
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77002
Fluoroscopic guidance for needle placement
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22 | 20 | $341.22 | $88.23 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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15 | 15 | $507.24 | $139.64 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tramadol Hcl | Tramadol Hcl | 192 | 1,226 | $547.51 | 175 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 182 | 1,229 | $1,595.20 | 154 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 102 | 709 | $1,270.08 | 76 |
| Methylprednisolone | Methylprednisolone | 20 | 120 | $121.05 | 20 |
| Celecoxib | Celecoxib | 20 | 900 | $409.84 | โ |
| Meloxicam | Meloxicam | 15 | 480 | $20.06 | โ |
| Ibuprofen | Ibuprofen | 14 | 350 | $72.16 | โ |
| Cephalexin | Cephalexin | 13 | 100 | $76.37 | 11 |
| Prednisone | Prednisone | 12 | 171 | $35.51 | 12 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-07-28NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 363AM0700X
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20100813000868
FL
2567596471
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Southeast Orthopedic Specialists Llc
10475 Centurion Pkwy N, Jacksonville, FL 322565004
Phone: 9046340640
Secondary Practice Locations
3055 County Road 210 W Ste 110
St Johns, FL 322597001
Phone: 9046340640
4268 Oldfield Crossing Dr Ste 201
Jacksonville, FL 322238800
Phone: 9046340640
216 Southpark Cir E Ste 216
St Augustine, FL 320865135
Phone: 9046340640
4565 Us Highway 17 Ste 200
Fleming Island, FL 320034823
Phone: 9046340640
2 Shircliff Way Ste 605
Jacksonville, FL 322044762
Phone: 9046340640
2627 Riverside Ave Ste 300
Jacksonville, FL 322044717
Phone: 9046340640
232 Ponte Vedra Park Dr
Ponte Vedra Beach, FL 320826600
Phone: 9046340640
1690 Us Highway 1 S Ste F
St Augustine, FL 320846024
Phone: 9046340640
10475 Centurion Pkwy N Ste 220
Jacksonville, FL 322565004
Phone: 9046340640
15255 Max Legget Pkwy Ste 5300
Jacksonville, FL 322187274
Phone: 9046340640
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Physical Therapist
Doctor of Physical Therapy
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Physical Therapist
Doctor of Physical Therapy
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 45 GROOVER LOOP STE 201, ST AUGUSTINE, FL 320866586 (Tel: 9046340640)
Registered at 216 SOUTHPARK CIR E STE 216, ST AUGUSTINE, FL 320865135 (Tel: 9046340640)
Registered at 6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 322168203 (Tel: 9046340640)
Registered at 1 ORTHOPAEDIC PL, ST AUGUSTINE, FL 320864202 (Tel: 9042580540)
Registered at 1 ORTHOPAEDIC PL, ST AUGUSTINE, FL 320864202 (Tel: 9048250540)
Recorded as EARNEST KEPLER, PA-C
NPI status registered as active in NPPES database
Registered at 7625 LAKE WORTH RD, LAKE WORTH, FL 334672534 (Tel: 5614332232)
Registered at 7625 LAKE WORTH RD, LAKE WORTH, FL 334672534 (Tel: 5614332232)
Recorded as EARNEST KEPLER, PA
Physician Assistant (license number reported to NPPES: FL PA1917)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in St Augustine
- Kayleigh Shaver, PA-C
- Kimberly Edwards, PA-C
- Richard Oldano, PA
- Andrew Markert, PA-C
- David Goins, PA
- David Williams, PA
Mailing Address
6800 Southpoint Pkwy Ste 300
Jacksonville, FL 322168203
Phone: 9046340640