| Krupnick Healthcare, Llc | |
|
3181 Clearwater Dr Suite B Prescott AZ 86305-7196 | |
| (928) 515-1755 | |
| Not Available |
| Full Name | Krupnick Healthcare, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3181 Clearwater Dr, Prescott, Arizona |
| Authorized Official Name and Position | Kurt Andrew Krupnick (OWNER/PROVIDER) |
| Authorized Official Contact | 9288996919 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Krupnick Healthcare, Llc 4390 W Fort Bridger Rd Prescott AZ 86305-9038 Ph: (928) 899-6919 | Krupnick Healthcare, Llc 3181 Clearwater Dr Suite B Prescott AZ 86305-7196 Ph: (928) 515-1755 |
| NPI Number | 1154868867 |
|---|---|
| Provider Enumeration Date | 01/20/2017 |
| Last Update Date | 01/20/2017 |
| Medicare PECOS PAC ID | 7911281266 |
|---|---|
| Medicare Enrollment ID | O20170303002023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154868867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 42104 (Arizona) | Primary |
| Provider Name | Kurt A Krupnick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700836129 PECOS PAC ID: 8426157090 Enrollment ID: I20090721000023 |
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