Healthcare Provider Details

I. General information

NPI: 1982825477
Provider Name (Legal Business Name): ABBEY E RUPE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 02/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 E. PRESCOTT RD
SALINA KS
67401-7408
US

IV. Provider business mailing address

651 E. PRESCOTT RD
SALINA KS
67401-7408
US

V. Phone/Fax

Practice location:
  • Phone: 785-825-7251
  • Fax: 785-825-6887
Mailing address:
  • Phone: 785-825-7251
  • Fax: 785-825-6887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number04-32921
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: