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NPI Code Detail

MEDICARE: DR. SCOTT KUPER D.C.

MEDICARE:  DR. SCOTT  KUPER  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor08002599AIN

General Provider Information

NPI Number : 1205117090
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT KUPER D.C.
Provider Business Mailing Address
First Line : 4735 STATESMEN DR
Second Line : SUITE E
City : INDIANAPOLIS
State : IN
Zip : 46250-5646
Country : US
Telephone Number : 317-910-9865
Fax Number :
Provider Business Practice Location Address
First Line : 4735 STATESMEN DR
Second Line : SUITE E
City : INDIANAPOLIS
State : IN
Zip : 46250-5646
Country : US
Telephone Number : 317-910-9865
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2011
Last Update Date : 03/29/2014

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Directions to “ DR. SCOTT KUPER D.C.” Practice Location

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