Individual
DR. JENNIFER KAY RUPRECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1952 ADDISON AVE E, TWIN FALLS, ID 83301-5304
(208) 735-4080
Mailing address
1952 ADDISON AVE E, TWIN FALLS, ID 83301-5304
(208) 735-4080
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-1036
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010139897
BLUE SHIELD - OPTOMETRIST
ID
Enumeration date
11/28/2006
Last updated
02/26/2020
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