Individual
KELLY HOYT CUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
145 N COAST HWY STE B, NEWPORT, OR 97365-3165
(541) 272-5048
Mailing address
145 N COAST HWY STE B, NEWPORT, OR 97365-3165
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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