Individual
DR. ROBERT G KUPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1532 LONE OAK RD, SUITE 310, PADUCAH, KY 42003-7913
(270) 538-6200
(270) 538-6220
Mailing address
PO BOX 636961, CINCINNATI, OH 45263-6961
(270) 538-6200
(270) 538-6220
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
24628
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64246283
—
KY
Enumeration date
06/09/2005
Last updated
05/10/2016
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