Provider Demographics
NPI:1295209583
Name:KREPS MEDICAL INC
Entity Type:Organization
Organization Name:KREPS MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:KREPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-630-1369
Mailing Address - Street 1:600 12TH AVE S APT 1609
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-6633
Mailing Address - Country:US
Mailing Address - Phone:615-630-1369
Mailing Address - Fax:
Practice Address - Street 1:600 12TH AVE S APT 1609
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-6633
Practice Address - Country:US
Practice Address - Phone:615-630-1369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-19
Last Update Date:2019-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies