Most Relevant Information
Provider Data
| NPI Number: | 1003591488 |
| Provider Name: | KARA KRUPP |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/21/2023 |
| Last Updated: | 08/14/2023 |
Provider Practice Location
537 W MAIN ST
IONIA
MI
488461652
Practice Location Phone/Fax
| Phone: | 8773389797 |
| Fax: |
Provider Mailing Location
11906 EDEN TRL
EAGLE
MI
488229621
Provider Mailing Phone/Fax
| Phone: | 5175265570 |
| Fax: |