Individual
DR. RONALD M KUPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2603 KENTUCKY AVE, STE 102, PADUCAH, KY 42003-3815
(270) 442-3539
(270) 442-2051
Mailing address
2603 KENTUCKY AVE, STE 102, PADUCAH, KY 42003-3815
(270) 442-3539
(270) 442-2051
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
15524
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64155245
—
KY
Enumeration date
06/02/2005
Last updated
12/22/2009
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