Individual
KATHRYNE F RUPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1642 E HERNDON AVE STE 106, FRESNO, CA 93720-3377
(559) 552-0522
(559) 257-2886
Mailing address
1642 E HERNDON AVE STE 106, FRESNO, CA 93720-3377
(559) 552-0522
(559) 257-2886
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4479
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000E44790
BLUE SHIELD
CA
05
—
000E44790
—
CA
01
—
611685500
DEPARTMENT OF LABOR
—
01
—
E4479
CALIFORNIA LICENSE
CA
01
—
E44790
BLUE CROSS
CA
Enumeration date
09/12/2006
Last updated
05/10/2024
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