Individual
MR. KURT ANDREW KRUPNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5327 CRESCENT EDGE DR, PRESCOTT, AZ 86301-0105
(928) 515-1755
(928) 277-1627
Mailing address
5327 CRESCENT EDGE DR, PRESCOTT, AZ 86301-0105
(928) 515-1755
(928) 277-1627
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42104
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043346203 0078
CIGNA
VT
01
—
043346203012
TRICARE
VT
05
—
0VN1768
—
VT
01
—
317297
MVP
VT
01
—
KRUP11138661
BC BS OF VERMONT
VT
Enumeration date
05/10/2006
Last updated
09/11/2025
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