Kari Sue Ruppert, DT
Specialist in Sullivan, IL. Individual provider (NPI-1).
NPI number1114102449
StatusActive
Last updated in NPPESJan 6, 2008
Details
- NPI
- 1114102449
- Entity type
- Individual (NPI-1)
- Name
- Kari Sue Ruppert
- Credential
- DT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 6, 2008
- Last updated
- Jan 6, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
Rr 3 Box 343aSullivan, IL 61951-9112
Phone 217-273-8016
Mailing address
Rr 3 Box 343aSullivan, IL 61951-9112
Phone 217-273-8016
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