Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTOFER NATHANIEL TUPPER, D.O.
Active Sole ProprietorKRISTOFER NATHANIEL TUPPER, D.O. is a Sports Medicine healthcare provider located in FAIRFIELD, Connecticut. NPI 1306378104 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · FAIRFIELD, CT
Registration Details
- NPI Number
- 1306378104
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2017 (9.3311491192544 yrs)
- Last Updated
- Jan 21, 2022
- Licenses
-
69436 (CT)LP04070 (RI)69436 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
305 BLACK ROCK TPKEFAIRFIELD, CT, 068255508Browse CT providers · Browse ZIP 06825
- Phone
- 2033372600
- Fax
- 2033372611
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in FAIRFIELD, CT
| Name | Credential | NPI |
|---|---|---|
| JEAN-PAUL C. LUCKE | D.O. | 1396056834 |
| DR. RIZWAN AHMAD | MD | 1831477330 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.