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Katrell Rucker
Secured Medical Transport (VAN) in Lake St Louis, Missouri
NPI 1588308142

Katrell Rucker is a Secured Medical Transport (VAN) based in Lake St Louis, MO. Katrell Rucker practices in Lake St Louis, MO. The NPI Number for Katrell Rucker is 1588308142 and holds a License No. (Missouri).

The current practice location address for Katrell Rucker is 5 Cedar Run Ln Apt 7, Lake St Louis, MO and can be reached out via phone at 636-466-7745.

Location: 5 Cedar Run Ln Apt 7, Lake St Louis, MO, 63367-2707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588308142
Provider Name
Katrell Rucker
Credential
Provider Entity Type
Individual
Gender
Male
Address
5 Cedar Run Ln Apt 7, Lake St Louis, MO, 63367-2707
Phone Number
636-466-7745
Fax Number
Provider Enumeration Date
04/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5 Cedar Run Ln Apt 7
City
Lake St Louis
State
Missouri
Zip
63367-2707
Phone Number
636-466-7745
Fax Number
person
Provider Business Mailing Address Details
Address
5 Cedar Run Ln Apt 7
City
Lake St Louis
State
Missouri
Zip
63367-2707
Phone Number
636-466-7745
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Secured Medical Transport (VAN)
Speciality
-
Taxonomy
343800000X
License No.
(Missouri)
Definition
A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse.
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