Individual
RENETTE LYNNE KROUPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
HWY 34/47, FORT THOMPSON, SD 57339
(605) 245-2285
Mailing address
36980 239TH ST, WHITE LAKE, SD 57383-5013
(605) 249-2525
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0155
SD
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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