Individual
DR. KENNETH ERIC RUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 MEDPARK SQUARE, SUITE 1, SOMERSET, KY 42503-3812
(606) 677-8360
(606) 677-8399
Mailing address
30 MEDPARK SQUARE, SUITE 1, SOMERSET, KY 42503-3812
(606) 677-8360
(606) 677-8399
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
34707
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64347073
—
KY
Enumeration date
07/05/2005
Last updated
08/16/2013
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