Mark Kuppe is a Clinical in Oakdale, Minnesota. Mark Kuppe practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Kuppe is 1164446837. The last update date is 2007-07-08.
Mark Kuppe's current location address is 7066 Stillwater Blvd N, Oakdale, Minnesota. You can contact this provider via phone number 6517775222 and fax number 6512515111. The mailing address for Mark Kuppe is 7066 Stillwater Blvd N, Oakdale, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark Kuppe |
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Address | 7066 Stillwater Blvd N, Oakdale, Minnesota |
Phone Number | 6517775222 |
Fax Number | 6512515111 |
Sole Proprietor | N |
Credentials | PSY.D., LP |
NPI Number Detail
NPI Number | 1164446837 |
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Provider Enumeration Date | 2006-07-27 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 7066 Stillwater Blvd N |
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City | Oakdale |
State | Minnesota (MN) |
Post Code | 551283937 |
Phone Number | 6517775222 |
Fax Number | 6512515111 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 1807 |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
62-20092 | MN | UBH | |
57422KU | MN | BCBS | |
106236 | MN | UC | |
570010 | MN | P1 |
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What is the unique 10-digit identifier code issued to Mark Kuppe by the Centers for Medicare & Medicaid Services?
The Mark Kuppe has been assigned the NPI (National Provider Identifier) 1164446837 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mark Kuppe?
The Mark Kuppe is physically situated at 7066 Stillwater Blvd N, in the city of Oakdale, state of MN, with the postal code 551283937.
What is Mark Kuppe's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark Kuppe is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1164446837 to Mark Kuppe?
The Mark Kuppe received its 1164446837 assignment from the Centers for Medicare & Medicaid Services on 2006-07-27.
When was the information pertaining to Mark Kuppe most recently updated or revised?
The details related to Mark Kuppe, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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