Krupp, Kenneth R

Krupp, Kenneth R is an individual health care provider with primary practice located at 5308 Harroun Rd Suite 055, Sylvania OH 43560-2114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Krupp, Kenneth R can be contacted via phone (419) 824-6599.

Contact Information

Primary practice address
5308 Harroun Rd Suite 055 Sylvania OH 43560-2114
Phone: (419) 824-6599
Fax: (419) 885-3870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 35046209 Ohio
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 4301079387 Michigan

Profile Details

NPI number 1508863747
LBN Legal business name Krupp, Kenneth R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated May 1st, 2012 - about 12 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 1508863747 NPPES
Ohio MEDICAID 0560290
Ohio Other KR0586193
Ohio Other P00812603

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