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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLY RUCKER

Active Sole Proprietor

KIMBERLY RUCKER is a Podiatric Surgery healthcare provider located in FAUCETT, Missouri. NPI 1396394201 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · FAUCETT, MO

Registration Details

NPI Number
1396394201
Provider Type
Individual
Gender
Female
NPI Issued
Sep 4, 2019 (6.9207421619458 yrs)
Last Updated
May 7, 2020
Sole Proprietor
Yes

Practice Information

Address
710 S.E. GRAND DD TERRACE
FAUCETT, MO, 64448
Browse MO providers · Browse ZIP 64448
Phone
3146524100
Primary Specialty
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.