Individual
KATHLEEN JO RUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
901 S HOLYOKE ST, BUILDING G SUITE 100, WICHITA, KS 67218-2928
(316) 636-2888
(316) 636-2366
Mailing address
901 S HOLYOKE ST, BUILDING G SUITE 100, WICHITA, KS 67218-2928
(316) 636-2888
(316) 636-2366
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSCSW 1865
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069381
BCBS OF KANSAS
KS
01
—
4463
PPK
KS
01
—
A008
TRIWEST
KS
Enumeration date
08/13/2006
Last updated
02/08/2017
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