Individual
JUSTIN ADAM RUECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-2200
(859) 257-1446
(859) 257-7572
Mailing address
6708 PENNS CHAPEL RD, BOWLING GREEN, KY 42101-7000
(801) 707-6354
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
04988
KY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
04988
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2016
Last updated
08/24/2022
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