Provider Demographics
NPI:1215785373
Name:ZEPPIERI, KYLE JEFFREY ROBERT (DC)
Entity type:Individual
Prefix:
First Name:KYLE
Middle Name:JEFFREY ROBERT
Last Name:ZEPPIERI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1353 GOLD STAR HWY STE 106
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06340-2755
Mailing Address - Country:US
Mailing Address - Phone:860-859-7221
Mailing Address - Fax:860-326-5728
Practice Address - Street 1:1353 GOLD STAR HWY STE 106
Practice Address - Street 2:
Practice Address - City:GROTON
Practice Address - State:CT
Practice Address - Zip Code:06340-2755
Practice Address - Country:US
Practice Address - Phone:860-859-7221
Practice Address - Fax:860-326-5728
Is Sole Proprietor?:No
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2320111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor