IndividualActive
Caleb Kaupp, EMT
NPI 1730964537 · Basic Emergency Medical Technician · Gridley, IL
Provider details
- NPI number
- 1730964537
- Entity type
- Individual
- Primary specialty
- Basic Emergency Medical TechnicianEmergency Medical Service Providers
- Credential
- EMT
- Sex
- Male
- Sole proprietor
- No
- License
- 060647781 (IL)
Specialties & taxonomies
Emergency Medical Service Providers
Practice location
105 E 3rd St
Gridley, IL 61744-7725
Phone: (309) 747-2699
Fax: (309) 747-2825
Approximate (ZIP-level) locationGet directions
Mailing address
105 E 3rd St
Gridley, IL 61744-7725
Registry dates
- Enumerated
- 2023-08-29
- Last updated
- 2023-08-29
- Certified
- 2023-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.