Individual
DR. SPENCER GREGORY KUPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4199 GATEWAY BLVD STE 3100, NEWBURGH, IN 47630-7906
(812) 842-4550
Mailing address
PO BOX 637273, CINCINNATI, OH 45263-7273
(812) 842-4550
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
01079619A
IN
207VM0101X
Maternal & Fetal Medicine Physician
33952
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01079619A
INDIANA LICENSE
IN
05
—
300010740
—
IN
05
—
7100523980
—
KY
Enumeration date
03/22/2011
Last updated
06/17/2019
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