Ruby, Kenneth Eric
Ruby, Kenneth Eric is an individual health care provider with primary practice located at 30 Medpark Square Suite 1, Somerset KY 42503-3812. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Ruby, Kenneth Eric can be contacted via phone (606) 677-8360.Contact Information
Primary practice address
30 Medpark Square Suite 1
Somerset KY 42503-3812
Phone: (606) 677-8360
Fax: (606) 677-8399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 34707 | Kentucky |
Profile Details
| NPI number | 1063419133 |
|---|---|
| LBN Legal business name | Ruby, Kenneth Eric |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2005 |
| Last updated | Aug 16th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063419133 | NPPES |
| Kentucky | MEDICAID | 64347073 |
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