Individual provider · NPI-1

Dr. Kentston Cripe, DPM

Podiatrist · Roseville, CA

NPI number1073076782
StatusActive
Last updated in NPPESOct 5, 2026

Details

NPI
1073076782
Entity type
Individual (NPI-1)
Name
Dr. Kentston Cripe
Credential
DPM
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 9, 2019
Certification date
Oct 5, 2026
Last updated
Oct 5, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X Podiatrist5846CAYes

Practice location

906 Cirby Way Ste 100
Roseville, CA 95661-4475

Phone 916-243-5033 · Fax 916-898-0051

Mailing address

906 Cirby Way Ste 100
Roseville, CA 95661-4475

Phone 916-243-5033 · Fax 916-898-0051

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