National Provider Identifier
Matthew Charles Kruppenbacher, D.O.
Matthew Charles Kruppenbacher, D.O. is listed in the NPPES registry with a primary specialty of Pain Medicine (Physical Medicine & Rehabilitation) Physician in Rochester, NY and a listed phone number of (585) 723-7705.
Profile Overview
- NPI
- 1477999803
- Provider Type
- Individual
- Primary Specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Enumeration Date
- May 13, 2013
- Last Updated
- October 23, 2019
Practice Location
- 2655 Ridgeway Ave Ste 440
- Rochester, NY 14626
Phone: (585) 723-7705
Mailing Address
- 2655 Ridgeway Ave Ste 440
- Rochester, NY 14626-4296
Specialties
- Pain Medicine (Physical Medicine & Rehabilitation) Physician (2081P2900X)
- Physical Medicine & Rehabilitation Physician (208100000X)
Full Record
- NPI
- 1477999803
- Entity Type
- Individual
- Last Name
- Kruppenbacher
- First Name
- Matthew
- Middle Name
- Charles
- Credential
- D.O.
- Mailing Street Address
- 2655 Ridgeway Ave Ste 440
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4296
- Mailing Country
- US
- Mailing Phone
- (585) 723-7705
- Mailing Fax
- (585) 723-7788
- Practice Street Address
- 2655 Ridgeway Ave Ste 440
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626
- Practice Country
- US
- Practice Phone
- (585) 723-7705
- Practice Fax
- (585) 723-7788
- Enumeration Date
- May 13, 2013
- Last Updated
- October 23, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pain Medicine (Physical Medicine & Rehabilitation) Physician (2081P2900X), Physical Medicine & Rehabilitation Physician (208100000X)