Individual provider · Type 1 NPI

Kimberly Ann Rupp

Addiction (Substance Use Disorder) Counselor · Salt Lake City, UT

NPI number 1447550157 Active

Practice location

344 E 100 S
Salt Lake City, UT 84111-1700

Mailing address

8307 Fox Pointe Ct
West Jordan, UT 84088-8368

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1447550157

Kimberly Ann Rupp's National Provider Identifier is 1447550157, issued on Oct 27, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 27, 2010.