Search › Missouri › 343800000X
Katrell Rucker
NPI 1588308142 · on the registry since 2022 · sole proprietor
Practice
- Address
- 5 Cedar Run Ln Apt 7
Lake St Louis, MO 63367 - Phone
- (636) 466-7745
Registry record
- Primary taxonomy
- 343800000X
343800000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-04-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri