Doctor Name: | JEROME KRUMPELMAN |
NPI Number: | 1154382505 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 16265 |
Business Practice Address: | 51 Back Creek Rd Lancaster, KY - 404448566 |
Business Phone Number: | 8593398363 |
Business Fax Number: | |
Mailing Address: | 51 Back Creek Rd, LANCASTER |
State: | KY |
Postal Code: | 404448566 |
Phone Number: | |
Fax Number: | 6068773978 |
NPI Enumeration Date: | 03/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16265 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |