Individual
KENNETH EARL KUPER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-6820
Mailing address
PO BOX 173891, DENVER, CO 80217-3891
(877) 346-2211
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR.0055209
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18809278
—
CO
Enumeration date
07/13/2012
Last updated
09/08/2025
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