Rupp, Kathleen Nicole

Rupp, Kathleen Nicole is an individual health care provider with primary practice located at 3 Baden Powell Ln Suite 4, Mechanicsburg PA 17050-5270. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Rupp, Kathleen Nicole can be contacted via phone (717) 766-1566.

Contact Information

Primary practice address
3 Baden Powell Ln Suite 4 Mechanicsburg PA 17050-5270
Phone: (717) 766-1566
Fax: (717) 766-2604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X BH7491614 Pennsylvania

Profile Details

NPI number 1548355522
LBN Legal business name Rupp, Kathleen Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Apr 16th, 2013 - about 11 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 1548355522 NPPES
Pennsylvania MEDICAID 1008425800001

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