Individual
JERRY ALAN KRIPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2250
(859) 572-2326
Mailing address
PO BOX 18667, ERLANGER, KY 41018-0667
(859) 572-3617
(859) 572-2326
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01084567A
IN
207P00000X
Emergency Medicine Physician
Primary
29079
KY
207P00000X
Emergency Medicine Physician
35063982K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000317065
BCBS
OH
05
—
0110829
—
OH
05
—
201271120
—
KY
05
—
7100327450
—
KY
Enumeration date
05/03/2006
Last updated
07/07/2021
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