Individual
MRS. KELLY LYNN RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2208 N WEBB RD UNIT 4, GRAND ISLAND, NE 68803-1756
(308) 381-1690
Mailing address
2208 N WEBB RD UNIT 4, GRAND ISLAND, NE 68803-1756
(308) 218-1602
(308) 218-1602
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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