Individual
DR. RYAN JEFFREY KRUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9880 ANGIES WAY STE 250, LOUISVILLE, KY 40241-2865
(502) 394-6341
(502) 394-6340
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
41945
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000575433
ANTHEM- NORTON ORTHO TRAUMA CARE
KY
01
—
000023033P
HUMANA- NORTON ORTHO TRAUMA CARE
KY
01
—
00533045
MEDICARE- NORTON ORTHO TRAUMA CARE
KY
01
—
200910490
MEDICAID INDIANA- NORTON ORTHO TRAUMA CARE
IN
01
—
200910490
MD WISE- NORTON ORTHO TRAUMA CARE
KY
01
—
3545574000
PASSPORT ADVANTAGE- NORTON ORTHO TRAUMA CARE
KY
01
—
50020863
PASSPORT- NORTON ORTHO TRAUMA CARE
KY
01
—
5220599
CIGNA- NORTON ORTHO TRAUMA CARE
KY
01
—
7100061920
MEDICAID KY- NORTON ORTHO TRAUMA CARE
KY
01
—
P00694596
RAILROAD MEDICARE- NORTON ORTHO TRAUMA CARE
KY
Enumeration date
02/02/2007
Last updated
11/01/2019
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