KRUPNICK HEALTHCARE LLC NPI 1154868867

NPI Information

NPI: 1154868867
Provider Name: KRUPNICK HEALTHCARE, LLC

Doing Business As: KRUPNICK ENHANCED MEDICAL CARE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3181 CLEARWATER DR
SUITE B
PRESCOTT, AZ
ZIP 86305
Phone: (928) 515-1755
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KRUPNICK HEALTHCARE, LLC is a primary care clinic center in Prescott, AZ. KRUPNICK HEALTHCARE, LLC NPI is 1154868867. The provider is registered as an organization entity type.
The provider Is Doing Business As Krupnick Enhanced Medical Care.

The provider's business location address is:

3181 CLEARWATER DR
SUITE B
PRESCOTT, AZ
ZIP 86305-196
Phone: (928) 515-1755

The provider's authorized official is Kurt Andrew Krupnick .
The authorized official title is Owner/provider and has the following contact phone number (928) 899-6919.

The enumeration date for this NPI number is 1/20/2017 and was last updated on 1/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	42104	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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