Kyle Krupa, | |
2799 W Grand Blvd, Detroit, MI 48202-2608 | |
(313) 916-2600 | |
Not Available |
Full Name | Kyle Krupa |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2799 W Grand Blvd, Detroit, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003218496 | NPI | - | NPPES |
4704276038 | Other | MI | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 4704276038 (Michigan) | Primary |
Entity Name | Henry Ford Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871666479 PECOS PAC ID: 0547178311 Enrollment ID: O20040124000368 |
Entity Name | Covenant Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225151897 PECOS PAC ID: 2769387778 Enrollment ID: O20040209001142 |
Entity Name | Asa Staffing Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114378981 PECOS PAC ID: 3971898644 Enrollment ID: O20160818002713 |
Mailing Address | Practice Location Address |
---|---|
Kyle Krupa, 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (313) 874-4806 | Kyle Krupa, 2799 W Grand Blvd, Detroit, MI 48202-2608 Ph: (313) 916-2600 |
Kimberly Dawn Harris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-8521 | |
Caroline L Talbert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3990 John R St, Detroit, MI 48201 Phone: 313-745-7600 Fax: 952-442-3620 | |
Lisa Zetuna, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Kurt Belen, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10814 Duprey St, Detroit, MI 48224 Phone: 313-410-1988 | |
Dr. Timothy Turner, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-8078 | |
Ms. Laura Lynn Rivera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 |