Individual
KIRSTEN MCKAYLA RUPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 244, BIG STONE GAP, VA 24219-0244
(606) 308-9508
Mailing address
PO BOX 244, BIG STONE GAP, VA 24219-0244
(606) 308-9508
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-296533
KY
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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