Individual provider · Type 1 NPI

Johann Kuppers, MD

Student in an Organized Health Care Education/Training Program · Olympia, WA

NPI number 1881266716 Active

Practice location

525 Lilly Rd NE
Olympia, WA 98506

Call (360) 493-7525 Map

Mailing address

3800 14th Ave SE, Apt A7
Lacey, WA 98503

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XML61164276 (WA)
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 1881266716

Johann Kuppers, MD's National Provider Identifier is 1881266716, issued on Jul 12, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Olympia, WA. The record was last updated on Feb 22, 2022.