Individual
DR. KEVIN JOSEPH KRUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5000 OBERLIN AVE, LORAIN, OH 44053
(440) 282-8007
(440) 282-7825
Mailing address
5000 OBERLIN AVE, LORAIN, OH 44053
(440) 282-8007
(440) 282-7825
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19036
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0949451
—
OH
Enumeration date
08/27/2006
Last updated
07/08/2007
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