Individual
RUBY KEARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
8770 OHIO RIVER RD, WHEELERSBURG, OH 45694-1918
(740) 574-9090
(740) 356-4180
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 353-7900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.002953RX
OH
363AS0400X
Surgical Physician Assistant
50-002953
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082605
—
OH
05
—
7100245620
—
KY
Enumeration date
09/16/2009
Last updated
12/18/2020
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