Individual
KAELA RUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
219 PRINCETON RD, JOHNSON CITY, TN 37601-2052
(423) 975-2200
Mailing address
219 PRINCETON RD, JOHNSON CITY, TN 37601-2052
(423) 975-2200
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
82508
TN
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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