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Kaitlynn Shan Krupp
Student in an Organized Health Care Education/Training Program in Madison, Alabama
NPI 1518597020

Kaitlynn Shan Krupp is a Student in an Organized Health Care Education/Training Program based in Madison, AL. Kaitlynn Shan Krupp practices in Madison, AL. The NPI Number for Kaitlynn Shan Krupp is 1518597020 and holds a License No. S12770 (Alabama).

The current practice location address for Kaitlynn Shan Krupp is 220 Meadow Wood Dr, Madison, AL and can be reached out via phone at 256-665-4237.

Location: 220 Meadow Wood Dr, Madison, AL, 35756-2515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518597020
Provider Name
Kaitlynn Shan Krupp
Credential
Provider Entity Type
Individual
Gender
Female
Address
220 Meadow Wood Dr, Madison, AL, 35756-2515
Phone Number
256-665-4237
Fax Number
Provider Enumeration Date
01/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
220 Meadow Wood Dr
City
Madison
State
Alabama
Zip
35756-2515
Phone Number
256-665-4237
Fax Number
person
Provider Business Mailing Address Details
Address
220 Meadow Wood Dr
City
Madison
State
Alabama
Zip
35756-2515
Phone Number
256-665-4237
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
S12770 (Alabama)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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