Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 0101235766 | VA |
NPI | 1093799322 |
---|---|
Provider Name | Alan Kauppi |
First Address | Lynchburg, VA 24506-1889 |
Second Address | Lynchburg, VA 24501-2115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2005 |
Last Update Date | 30/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010059216 | (05) | VA |
I01760 | (02) | VA |
P00145018 | MEDICARE RAILROAD CARRIER (01) | VA |