Individual
MS. CAROLINE KUEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1143 E SINTON ST, SINTON, TX 78387-2928
(361) 364-2804
(361) 364-5014
Mailing address
1143 E SINTON ST, SINTON, TX 78387-2928
(361) 364-2804
(361) 364-5014
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02185
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112554401
—
TX
05
—
342232101
—
TX
01
—
377483YLPS
WELLMED PTAN
TX
01
—
813753
BCBS
TX
Enumeration date
06/15/2007
Last updated
10/15/2015
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