# DR. AMANDA SUE KUPRIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1881153955
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2024-02722 | NC | Yes |
| 207Q00000X | Family Medicine Physician | 70242 | MN | — |
| 207Q00000X | Family Medicine Physician | MD61309883 | WA | — |

## Other

- **Enumeration date:** 03/18/2019
- **Last updated:** 11/01/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1881153955 | — | NC |