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Individual

TRACEY L KRUPSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101056252
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1659455715
VA
05
5902347
NC
Enumeration date
10/25/2006
Last updated
08/10/2023
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