Individual
KENNETH RUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
529 MAIN ST STE 222, CHARLESTOWN, MA 02129-1101
(857) 276-2261
Mailing address
529 MAIN ST STE 222, CHARLESTOWN, MA 02129-1101
(857) 276-2261
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN281308
MA
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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