Organization
HL KRUPADEV MD LLC
Active
Other names
HL Krupadev MD
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA L KEHL (OFFICE MANAGER)
(740) 373-5119
Entity
Organization
Contact information
Practice address
408 THIRD STREET, MARIETTA, OH 45750
(740) 373-5119
Mailing address
408 THIRD STREET, MARIETTA, OH 45750
(740) 373-5119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35042059K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445923
—
OH
Enumeration date
03/23/2007
Last updated
04/27/2011
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