Individual
BENJAMIN LESLIE KREPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1741 WILLIAMSPORT PIKE, MARTINSBURG, WV 25404-4341
(304) 596-2378
Mailing address
11350 MCCORMICK RD, EXECUTIVE PLAZA 1, STE. 501, HUNT VALLEY, MD 21031
(703) 914-8000
(410) 329-1054
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
0102202963
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
H0076404
MD
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
H0076404
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68709000
—
MD
01
—
P01215216
RR MEDICARE
MD
01
—
W2660033
BLUE SHIELD
MD
Enumeration date
06/11/2007
Last updated
06/18/2021
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