Individual
JOHN WILLIAM KURPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4261 LAFAYETTE ST, MARIANNA, FL 32446-8235
(850) 482-3696
Mailing address
6664 OLD SPANISH TRL, GRAND RIDGE, FL 32442-3952
(850) 592-9126
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
CH0003672
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88670
BLUE CROSS/ BLUE SHIELD
FL
01
—
CHOOO3672
CHIROPRACTIC LICENSE
FL
Enumeration date
02/24/2007
Last updated
08/19/2008
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