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Individual

DONNA RUCK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
4601 W 109TH ST, SUITE 302, OVERLAND PARK, KS 66211-1318
(913) 599-2440
(913) 599-5252
Mailing address
PO BOX 2746, SHAWNEE MISSION, KS 66201-2746
(913) 248-9693
(913) 248-9383

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
44925
KS

Other

Enumeration date
03/24/2006
Last updated
07/08/2007
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