Katrell Rucker
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 7Lake St Louis, MO 63367-2707
Phone: (636) 466-7745
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Specialties & licences
| Secured Medical Transport (VAN) (primary) | Taxonomy 343800000X (MO) |
|---|
Record details
| NPI number | 1588308142 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 20, 2022 |
| Last updated in NPPES | April 20, 2022 |
| Certification date | April 20, 2022 |
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