Individual
DR. AMANDA SUE KUPRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 OBERLIN RD, RALEIGH, NC 27605-1126
(919) 235-6566
(919) 235-6532
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2024-02722
NC
207Q00000X
Family Medicine Physician
70242
MN
207Q00000X
Family Medicine Physician
MD61309883
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881153955
—
NC
Enumeration date
03/18/2019
Last updated
11/01/2024
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