Individual
KATHLEEN NICOLE RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 BADEN POWELL LN, SUITE 4, MECHANICSBURG, PA 17050-5270
(717) 766-1566
(717) 766-2604
Mailing address
3 BADEN POWELL LN, SUITE 4, MECHANICSBURG, PA 17050-5270
(717) 766-1566
(717) 766-2604
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
BH7491614
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008425800001
—
PA
Enumeration date
10/04/2006
Last updated
04/16/2013
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