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Individual

KYLE J RUPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
10 E 31ST ST, KEARNEY, NE 68847-2908
(308) 865-7997
Mailing address
10 E 31ST ST, KEARNEY, NE 68847-2908
(308) 865-7997

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1238
NE
207P00000X
Emergency Medicine Physician
5274
OK

Other

Enumeration date
04/18/2011
Last updated
02/06/2019
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