Individual
CALEB JOSEPH KAUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
105 E 3RD ST, GRIDLEY, IL 61744-7725
(309) 747-2699
(309) 747-2825
Mailing address
105 E 3RD ST, GRIDLEY, IL 61744-7725
(309) 825-6812
(309) 747-2825
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
060647781
IL
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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