Individual
MARY KATHRYN RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP - C
Contact information
Practice address
2215 N HIGHWAY 64, GUYMON, OK 73942-2750
(580) 754-2280
Mailing address
PO BOX 181, LIBERAL, KS 67905-0181
(580) 522-1751
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
53-79454-112
KS
363LF0000X
Family Nurse Practitioner
Primary
67669
OK
Other
Enumeration date
07/15/2020
Last updated
10/28/2020
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