Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATRELL RUCKER
Active Sole ProprietorKATRELL RUCKER is a Air Carrier healthcare provider located in LAKE ST LOUIS, Missouri. NPI 1588308142 is currently active in the NPPES registry. Verify at CMS.
Air Carrier · LAKE ST LOUIS, MO
Registration Details
- NPI Number
- 1588308142
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2022 (4.3411100914999 yrs)
- Last Updated
- Apr 20, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
5 CEDAR RUN LN APT 7LAKE ST LOUIS, MO, 633672707Browse MO providers · Browse ZIP 63367
- Phone
- 6364667745
- Primary Specialty
-
Air Carrier
343800000X
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.