Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Katrell Rucker

Individual provider Secured Medical Transport (VAN) · NPI 1588308142

Katrell Rucker is a Secured Medical Transport (VAN) in Lake St Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2022

Practice location Address checks out

5 Cedar Run Ln Apt 7
Lake St Louis, MO 63367-2707
Phone: (636) 466-7745
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Secured Medical Transport (VAN) (primary) Taxonomy 343800000X (MO)

Record details

NPI number1588308142
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 20, 2022
Last updated in NPPESApril 20, 2022
Certification dateApril 20, 2022

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