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Individual

MR. JONATHAN D. RUBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
350 HOSPITAL WAY STE 100, SOMERSET, KY 42503-1872
(606) 451-2628
(606) 451-2641
Mailing address
350 HOSPITAL WAY STE 100, SOMERSET, KY 42503-1872
(606) 451-2628
(606) 451-2641

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40613
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000503520
ANTHEM
KY
01
1231898
CHA
KY
01
5764646
CCN
05
7100010520
KY
01
C92472
CUMBERLAND HEALTHCARE
01
P00423857
RAILROAD MEDICARE
KY
Enumeration date
01/24/2007
Last updated
06/21/2021
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