Individual
BETTY J KUPPUSAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNOR RNFA
Contact information
Practice address
109 WINDSOR CIR, BLUEFIELD, VA 24605-9324
(276) 326-3356
Mailing address
109 WINDSOR CIR, BLUEFIELD, VA 24605-9324
(276) 326-3356
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
31425
WV
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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