Kari Sue Ruppert, DT

NPI #1114102449 in Sullivan, Illinois

Provider Information

NPI Number: 1114102449
Entity Type: Individual
Name: Kari Sue Ruppert, DT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: DT
Enumeration Date: Jan 6, 2008
Last Updated: Jan 6, 2008

Practice Location

Address: RR 3 BOX 343A
City: Sullivan
State: Illinois
ZIP Code: 61951-9112
Phone: (217) 273-8016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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