Individual
DR. GREGORY ALLEN RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 HIGHLAND PARK DR, RICHMOND, KY 40475-3839
(859) 626-7700
(859) 626-7890
Mailing address
1010 MAIN ST S, MC KEE, KY 40447-7089
(859) 626-7700
(859) 626-7890
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
45407
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300038701
—
IN
01
—
412840126
MEDICARE
IN
05
—
7100228010
—
KY
Enumeration date
07/16/2009
Last updated
05/25/2022
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