Individual
DR. KEVIN M KUPPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157
(336) 716-2011
Mailing address
734 RIVERTREE LN, WINSTON SALEM, NC 27103-6965
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME120502
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2012
Last updated
05/25/2018
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