Individual
MICHAEL D RUPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 629-6000
(502) 629-5865
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 629-6000
(502) 629-5865
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD428373
PA
207LP3000X
Pediatric Anesthesiology Physician
42648
KY
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
42648
KY
2080P0203X
Pediatric Critical Care Medicine Physician
MD428373
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200959570
—
IN
05
—
7100077560
—
KY
Enumeration date
08/21/2007
Last updated
09/04/2014
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