NPI 1003218496

Kyle Krupa

Practitioner Certified Registered Nurse Anesthetist Detroit, MI

Practice location

Address: 2799 W Grand Blvd, Detroit, MI 48202-2608
Phone: (313) 916-2600
Mailing address: 1 Ford Pl STE 3a, Detroit, MI 48202-3450

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 4704276038 (MI)

Other Nurse Anesthetist, Certified Registered providers in Michigan →

Registry record

NPI: 1003218496
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Sep 2014
Record last updated: 29 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.