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NPI Code Detail

MEDICARE: MRS. ERIKA JANE KRUPKIN MS,CCC-SLP

MEDICARE: MRS. ERIKA JANE KRUPKIN MS,CCC-SLP
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
1235Z00000XSpeech-Language PathologistSP-788NV

General Provider Information

NPI Number : 1215061726
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ERIKA JANE KRUPKIN MS,CCC-SLP
Provider Business Mailing Address
First Line : 8275 S EASTERN AVE STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2545
Country : US
Telephone Number : 800-966-0535
Fax Number : 702-487-6312
Provider Business Practice Location Address
First Line : 8275 S EASTERN AVE STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89123-2545
Country : US
Telephone Number : 800-966-0535
Fax Number : 702-487-6312
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 04/11/2013

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Directions to “ MRS. ERIKA JANE KRUPKIN MS,CCC-SLP” Practice Location

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