| Organization Name: | THOMAS W. KUPFERER, D.O. |
| NPI Number: | 1184829996 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANET L AUSTIN (OFFICE MANAGER) |
| Mailing Address: | 407 S Chestnut St De Soto |
| State: | IL US |
| Postal Code: | 629241400 |
| Phone Number: | 6188672703 |
| Fax Number: | 6188672353 |
| NPI Enumeration Date: | 06/20/2007 |
| NPI Last Update Date: | 10/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 036066913 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |