Individual
KIANNA PAIREZ RUBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
DO
Contact information
Practice address
640 S STATE ST, DOVER, DE 19901-3530
(302) 744-6999
Mailing address
640 S STATE ST, DOVER, DE 19901-3530
(302) 744-6999
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C7-0019174
DE
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
03/30/2026
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