Renette Lynne Kroupa in White Lake - Medical
Renette Lynne Kroupa - NPI 1760493811
Renette Lynne Kroupa is a Medical in White Lake, South Dakota. Renette Lynne Kroupa practices all healthcare services and medical treatments related to Medical. The NPI Number for Renette Lynne Kroupa is 1760493811. The last update date is 2007-07-08.
Renette Lynne Kroupa's current location address is 36980 239th St, White Lake, South Dakota. You can contact this provider via phone number 6052492525. The mailing address for Renette Lynne Kroupa is 36980 239th St, White Lake, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Renette Lynne Kroupa |
|---|---|
| Address | 36980 239th St, White Lake, South Dakota |
| Phone Number | 6052492525 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1760493811 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 36980 239th St |
|---|---|
| City | White Lake |
| State | South Dakota (SD) |
| Post Code | 573835013 |
| Phone Number | 6052492525 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 155 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique identification code assigned to Renette Lynne Kroupa by the Centers for Medicare & Medicaid Services?
The Renette Lynne Kroupa has been issued the NPI (National Provider Identifier) 1760493811. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Renette Lynne Kroupa is physically located?
The Renette Lynne Kroupa is physically situated at the following address: 36980 239Th St, White Lake, SD, 573835013.
What is the Renette Lynne Kroupa's specialty and taxonomy code?
The Renette Lynne Kroupa's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
When was the Renette Lynne Kroupa's 1760493811 issued?
The Renette Lynne Kroupa's 1760493811 was issued on 2006-08-11.
As of what date were the details related to Renette Lynne Kroupa most recently updated or revised?
The information pertaining to Renette Lynne Kroupa, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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