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NPI Code Detail

MEDICARE: DR. KRIS A KUPER MD

MEDICARE:  DR. KRIS A KUPER  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician38714MN
2208000000XPediatrics Physician21374MT

General Provider Information

NPI Number : 1093735979
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRIS A KUPER MD
Provider Business Mailing Address
First Line : 1600 DIVISION RD
Second Line :
City : GREAT FALLS
State : MT
Zip : 59404-1921
Country : US
Telephone Number : 406-268-1600
Fax Number : 460-771-3549
Provider Business Practice Location Address
First Line : 1600 DIVISION RD
Second Line :
City : GREAT FALLS
State : MT
Zip : 59404-1921
Country : US
Telephone Number : 406-268-1600
Fax Number : 460-771-3549
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 03/27/2014

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Directions to “ DR. KRIS A KUPER MD” Practice Location

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