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Individual

ROBERT HARRIS KRUPKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
427 EVERGREEN HWY., BUNKIE, LA 71322-0380
(318) 346-3339
Mailing address
PO BOX 380, BUNKIE, LA 71322
(318) 346-3339

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
06118R
LA
208D00000X
General Practice Physician
Primary
06118R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06118R
STATE LICENSE
LA
05
1344761
LA
Enumeration date
06/02/2006
Last updated
12/16/2015
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