Individual
MR. GEORGE KUPER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
13207 RAVENNA RD, GEAUGA HOSPITAL, CHARDON, OH 44024-7032
(440) 285-6000
Mailing address
PO BOX 567, CHAGRIN FALLS, OH 44022-0567
(216) 464-5160
(216) 464-5982
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
118108
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0755786
—
OH
Enumeration date
08/29/2005
Last updated
07/08/2007
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