Keup, Krystal Anne

Keup, Krystal Anne is an individual health care provider with primary practice located at 12000 Wornall Road , Kansas City MO 64145-1117. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Keup, Krystal Anne can be contacted via phone (816) 941-1000.

Contact Information

Primary practice address
12000 Wornall Road Kansas City MO 64145-1117
Fax: (816) 941-1500
Website:

Profile Details

NPI number 1811102692
LBN Legal business name Keup, Krystal Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Aug 23rd, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811102692 NPPES
Kansas Other 04-34429 STATE LICENSE
Kansas Other 2010013492 STATE LICENSE

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