Individual
KELLI M. RUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
901 E BRADY ST STE 103, BUTLER, PA 16001
(724) 282-1627
Mailing address
901 E BRADY ST STE 103, BUTLER, PA 16001-4649
(724) 282-1627
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS019498
PA
390200000X
Student in an Organized Health Care Education/Training Program
259678
MA
Other
Enumeration date
03/31/2014
Last updated
10/17/2018
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