Individual
KATIE M RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
676 S FLOYD ST, LOUISVILLE, KY 40202-1840
(502) 629-2500
(502) 629-4445
Mailing address
PO BOX 776347, CHICAGO, IL 60677-0909
(502) 272-5052
(502) 629-6217
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1125795
KY
363L00000X
Nurse Practitioner
3006769
KY
363LF0000X
Family Nurse Practitioner
Primary
3006769
KY
363LF0000X
Family Nurse Practitioner
9290575
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201027150
—
IN
05
—
7100157270
—
KY
01
—
P400041375
MEDICARE- NICC
KY
Enumeration date
02/05/2010
Last updated
05/08/2025
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