Individual
JEROME KRUMPELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
51 BACK CREEK RD, LANCASTER, KY 40444-8566
(859) 339-8363
Mailing address
51 BACK CREEK RD, LANCASTER, KY 40444-8566
(606) 877-3978
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16265
KY
208D00000X
General Practice Physician
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000390660
ANTHEM
KY
01
—
50009734
PASSPORT HEALTH PLAN
KY
05
—
64162654
—
KY
01
—
C16200
CUMBERLAND HEALTHCARE INC
KY
01
—
P00322418
RRMCR
KY
Enumeration date
03/28/2006
Last updated
07/08/2007
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