Ruby-Canaday, Marlene

Ruby-Canaday, Marlene is an individual health care provider with primary practice located at 639 N Mulberry St , Elizabethtown KY 42701-1931. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Ruby-Canaday, Marlene can be contacted via phone (270) 737-4600.

Contact Information

Primary practice address
639 N Mulberry St Elizabethtown KY 42701-1931
Phone: (270) 737-4600
Fax: (270) 737-1722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 48317 Kentucky

Profile Details

NPI number 1336144013
LBN Legal business name Ruby-Canaday, Marlene
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Mar 12th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336144013 NPPES
Kentucky MEDICAID 74253006

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