Individual
DR. REBECCA A RUBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7501 MISSION RD STE 103, PRAIRIE VILLAGE, KS 66208-4216
(913) 632-9880
(913) 632-9881
Mailing address
7501 MISSION RD STE 103, PRAIRIE VILLAGE, KS 66208-4216
(913) 632-9880
(913) 632-9881
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-20180
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11456071
BLUE CROSS
KS
01
—
626950
FIRSTGUARD
KS
Enumeration date
10/02/2006
Last updated
10/27/2021
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