Individual
RUBEN RAY CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.P.S.S
Contact information
Practice address
119 HERRIFORDS CIR, JAMESTOWN, KY 42629-2520
(270) 343-2551
Mailing address
119 HERRIFORDS CIR, JAMESTOWN, KY 42629-2520
(270) 343-2551
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
KY
Other
Enumeration date
01/09/2025
Last updated
01/17/2025
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