NPI 1588308142
Katrell Rucker
Practice location
- Address
- 5 Cedar Run Ln APT 7, Lake St Louis, MO 63367-2707
- Phone
- (636) 466-7745
Registered specialties
Secured Medical Transport (VAN)
Primary
Registry record
- NPI
- 1588308142
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 20 Apr 2022
- Record last updated
- 20 Apr 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.