Kari Sue Ruppert, DT
Individual provider Active NPI Specialist · Sullivan, IL
NPI 1114102449 · NPPES record last updated Jan 6, 2008
Key facts
- NPI
- 1114102449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- RR 3 Box 343a
Sullivan, IL 61951-9112 - Phone
- (217) 273-8016
- NPI assigned
- Jan 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
RR 3 Box 343a
Sullivan, IL 61951-9112
Mailing address
RR 3 Box 343a
Sullivan, IL 61951-9112
Phone (217) 273-8016
Other providers in Sullivan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.