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MR. WILLIAM ANDREW RUGGLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
137 STATE ROUTE 3117, SOUTH SHORE, KY 41175
(606) 932-2079
(606) 932-2313
Mailing address
137 STATE ROUTE 3117, SOUTH SHORE, KY 41175-9597
(606) 932-2079
(606) 932-2313

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11818
OH
363L00000X
Nurse Practitioner
Primary
3006477
KY
363LP0200X
Pediatric Nurse Practitioner
3006477
KY
363LP0200X
Pediatric Nurse Practitioner
3273051
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000679664
ANTHEM BCBS
KY
01
11818
NP
OH
01
3006477
APRN
KY
05
3122730
OH
05
7100122840
KY
Enumeration date
05/28/2010
Last updated
05/30/2024
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