Individual provider · Type 1 NPI
Katrell Rucker
Secured Medical Transport (VAN) · Lake St. Louis, MO
NPI number
1588308142
Active
Practice location
5 Cedar Run Ln Apt 7
Lake St. Louis, MO 63367-2707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Secured Medical Transport (VAN) Primary | 343800000X | None listed |
Secured Medical Transport (VAN): A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse.
About NPI 1588308142
Katrell Rucker's National Provider Identifier is 1588308142, issued on Apr 20, 2022. The primary taxonomy on file is Secured Medical Transport (VAN) (343800000X), and the practice location is in Lake St. Louis, MO. The record was last updated on Apr 20, 2022.