Individual
DESSARAE KILGORE-RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1501 MADISON RD, WALNUT HILLS, OH 45206-1706
(513) 354-5200
(513) 354-5333
Mailing address
15 BON JAN LN, HIGHLAND HEIGHTS, KY 41076-1793
(859) 307-0069
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
399893
OH
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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