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Individual

MR. TERRANCE L KUPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2900 16TH ST, BEDFORD, IN 47421-3510
(812) 275-1200
(812) 275-1212
Mailing address
2900 16TH ST, BEDFORD, IN 47421-3510
(812) 275-1200

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28188242A
IN
367500000X
Certified Registered Nurse Anesthetist
APN 10310
TN

Other

Enumeration date
09/27/2005
Last updated
12/30/2016
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