Individual
MS. KIMBERLY DIANE RUPP-MONTPETIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
301 BECKER AVE SW, WILLMAR, MN 56201-3302
(320) 231-4120
Mailing address
410 LAKE AVE S, SPICER, MN 56288-8614
(320) 796-0434
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 116376-8
MN
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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