Individual provider · Type 1 NPI
Brent Michael Krupp, MD
Student in an Organized Health Care Education/Training Program · Mercer Island, WA
NPI number
1497685556
Active
Practice location
3634 72nd Pl SE
Mercer Island, WA 98040-3353
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
Other student in an organized health care education/training program providers in Mercer Island
About NPI 1497685556
Brent Michael Krupp, MD's National Provider Identifier is 1497685556, issued on May 21, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mercer Island, WA. The record was last updated on May 21, 2026.