Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 27494607 | PA |
N | 111NI0900X | Internist | 27494607 | PA |
Y | 207RR0500X | Rheumatology | 272127 | MA |
NPI | 1063778934 |
---|---|
Provider Name | Dr. Kristie Marie Pepper |
First Address | Lebanon, PA 17042-8942 |
Second Address | Wyomissing, PA 19610-3359 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2012 |
Last Update Date | 12/08/2021 |