Individual provider · Type 1 NPI
Keith Adam Krupa, LPN
Adult Psychiatric/Mental Health Registered Nurse · Port Jefferson, NY
NPI number
1376157388
Active
Practice location
19 Laurita Gate
Port Jefferson, NY 11777-2113
Mailing address
200 Wireless Blvd
Hauppauge, NY 11788-3974
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 893109 (NY) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
Other adult psychiatric/mental health registered nurse providers in Port Jefferson
About NPI 1376157388
Keith Adam Krupa, LPN's National Provider Identifier is 1376157388, issued on Sep 8, 2020. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Port Jefferson, NY. The record was last updated on Jul 6, 2023.