| Doctor Name: | DR. KAREN RUPP |
| NPI Number: | 1962635771 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 01068438A |
| Business Practice Address: | 300 S Twining St Bldg 760 Maxwell Afb, AL - 361126027 |
| Business Phone Number: | 3349535273 |
| Business Fax Number: | 3349535201 |
| Mailing Address: | 1330 Highway 14 E Unit 101, PRATTVILLE |
| State: | AL |
| Postal Code: | 360665700 |
| Phone Number: | 7655320203 |
| Fax Number: | |
| NPI Enumeration Date: | 08/27/2009 |
| NPI Last Update Date: | 10/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 01068438A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |