Individual
DR. KYLE MATTHEW RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
14609 AMES PLZ APT 102, OMAHA, NE 68116-1507
(913) 523-6869
Mailing address
14609 AMES PLZ APT 102, OMAHA, NE 68116-1507
(913) 523-6869
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1645
NE
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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