Tupper, Kimberly Ruth

Tupper, Kimberly Ruth is an individual health care provider with primary practice located at 770 W Lincoln Hwy , Exton PA 19341-2547. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Tupper, Kimberly Ruth can be contacted via phone (610) 269-1372.

Contact Information

Primary practice address
770 W Lincoln Hwy Exton PA 19341-2547
Fax: (610) 269-6951
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X OA000144L Pennsylvania

Profile Details

NPI number 1629114608
LBN Legal business name Tupper, Kimberly Ruth
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Oct 5th, 2007 - about 17 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 1629114608 NPPES
Pennsylvania Other 232769426 TAX ID
Pennsylvania Other P00079110 TAX ID

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