Krupa, Keith Adam

Krupa, Keith Adam is an sole proprietor health care provider with primary practice located at 19 Laurita Gate , Port Jefferson NY 11777-2113. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Krupa, Keith Adam can be contacted via phone (631) 413-1717.

Contact Information

Primary practice address
19 Laurita Gate Port Jefferson NY 11777-2113
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 893109 New York

Profile Details

NPI number 1376157388
LBN Legal business name Krupa, Keith Adam
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2020
Last updated Jul 6th, 2023 - about last year

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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