Amanda M Krupp, LMP Valid NPI

Individual provider · Specialist · Shelton, WA

NPI

1801145073

Type

Individual (Type 1)

Primary specialty

Specialist

Specialty group

Other Service Providers

Taxonomy code

174400000X

License number

MA60179183 (WA)

Sex

Female

Sole proprietor

Yes

Enumerated

2012-09-04

Last updated

2016-04-28