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Individual
KIRSTEN A. RUHL
Active
Individual
KIRSTEN A. RUHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
017609
NY
363A00000X
Physician Assistant
Primary
25MP00348900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017609
NYS LICENSE
NY
Enumeration date
06/26/2014
Last updated
08/04/2026
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