Keup, Krystal Anne
Keup, Krystal Anne is an individual health care provider with primary practice located at 12000 Wornall Road , Kansas City MO 64145-1117. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Keup, Krystal Anne can be contacted via phone (816) 941-1000.Contact Information
Primary practice address
12000 Wornall Road
Kansas City MO 64145-1117
Phone: (816) 941-1000
Fax: (816) 941-1500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | 2010013492 | Missouri |
Profile Details
| NPI number | 1811102692 |
|---|---|
| LBN Legal business name | Keup, Krystal Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2007 |
| Last updated | Aug 23rd, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811102692 | NPPES |
| Kansas | Other | 04-34429 | STATE LICENSE |
| Kansas | Other | 2010013492 | STATE LICENSE |
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