Provider Demographics
NPI:1669697363
Name:KURPEL, JEROME E (MD)
Entity type:Individual
Prefix:DR
First Name:JEROME
Middle Name:E
Last Name:KURPEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 BEHRMAN HWY
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-4546
Mailing Address - Country:US
Mailing Address - Phone:504-394-0001
Mailing Address - Fax:504-304-6444
Practice Address - Street 1:880 BEHRMAN HWY
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-4546
Practice Address - Country:US
Practice Address - Phone:504-394-0001
Practice Address - Fax:504-304-6444
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA015697207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism