Individual
KENNETH TAYLOR RUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
152 PARKERS MILL RD UNIT A, SOMERSET, KY 42501-3150
(606) 678-0874
Mailing address
329 LEWIS BROWN DR, SOMERSET, KY 42503-9707
(606) 383-2269
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10428
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2020
Last updated
06/05/2020
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