Individual
JEFFRY K KUPFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3000 N TRIUMPH BLVD, LEHI, UT 84043
(385) 345-3000
(770) 701-6676
Mailing address
1682 TEMPLE CT, BOUNTIFUL, UT 84010-1508
(435) 559-1387
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95000384
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
7640423-4406
UT
367500000X
Certified Registered Nurse Anesthetist
95000384
CA
Other
Enumeration date
04/28/2015
Last updated
08/15/2018
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