Individual provider · Type 1 NPI

Jesse Tyson Kupfer, DO

Student in an Organized Health Care Education/Training Program · Salem, VA

NPI number 1376491597 Active

Practice location

1902 Braeburn Dr
Salem, VA 24153-7304

Call (540) 204-3274 Map

Mailing address

1900 Electric Rd
Salem, VA 24153-7474

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376491597

Jesse Tyson Kupfer, DO's National Provider Identifier is 1376491597, issued on Mar 21, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salem, VA. The record was last updated on Mar 21, 2026.