Individual
MRS. RUTH POWELL KINGKADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CDIABETES EDUCATO
Contact information
Practice address
510 S MAIN ST, OWENTON, KY 40359-3036
(502) 484-3412
(502) 484-0864
Mailing address
510 S MAIN ST, OWENTON, KY 40359-3036
(502) 484-3412
(502) 484-0864
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1083125
KY
163WD0400X
Diabetes Educator Registered Nurse
Primary
21110226
KY
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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