Provider Demographics
NPI:1619794518
Name:KRUPP, MORGAN (MD, RDN, LDN)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:KRUPP
Suffix:
Gender:F
Credentials:MD, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 SOUTH LAMAR BOULEVARD
Mailing Address - Street 2:SOUTH OXFORD CENTER, SUITE NW 1350
Mailing Address - City:UNIVERSITY
Mailing Address - State:MS
Mailing Address - Zip Code:38677
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2301 SOUTH LAMAR BOULEVARD
Practice Address - Street 2:SOUTH OXFORD CENTER, SUITE NW 1350
Practice Address - City:UNIVERSITY
Practice Address - State:MS
Practice Address - Zip Code:38677
Practice Address - Country:US
Practice Address - Phone:662-915-8662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered