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NPI 1396394201

IndividualActive

Kimberly Rucker

NPI 1396394201 · Attendant Care Provider · Faucett, MO

Provider details

NPI number: 1396394201
Entity type: Individual
Primary specialty: Attendant Care ProviderNursing Service Related Providers
Sex: Female
Sole proprietor: Yes

Practice location

710 S.e. Grand Dd Terrace

Faucett, MO 64448

Phone: (314) 652-4100

More MO providers

Mailing address

710 S.e. Grand Dd Terrace

Faucett, MO 64448

Registry dates

Enumerated: 2019-09-04
Last updated: 2020-05-07

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Kimberly Rucker — NPI 1396394201, Faucett, MO | NPI Central