Individual
DR. RYAN JEFFREY KRUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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