Individual
JAMIE LYNN RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 PARK ST, SUITE 203B, BOWLING GREEN, KY 42101-1784
(270) 393-1912
(270) 393-1913
Mailing address
350 PARK ST, SUITE 203B, BOWLING GREEN, KY 42101-1784
(270) 393-1912
(270) 393-1913
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
TP220
KY
Other
Enumeration date
07/02/2007
Last updated
12/02/2013
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