Individual
MATTHEW PAUL KUEPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-5064
Mailing address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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