Kupper, Ronald M

Kupper, Ronald M is an individual health care provider with primary practice located at 2603 Kentucky Ave Ste 102, Paducah KY 42003-3815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kupper, Ronald M can be contacted via phone (270) 442-3539.

Contact Information

Primary practice address
2603 Kentucky Ave Ste 102 Paducah KY 42003-3815
Fax: (270) 442-2051
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 15524 Kentucky

Profile Details

NPI number 1629070701
LBN Legal business name Kupper, Ronald M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Dec 22nd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629070701 NPPES
Kentucky MEDICAID 64155245

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