Ruby A Johnson
Individual provider Active NPI Other Technician · Pippa Passes, KY
NPI 1134447618 · NPPES record last updated May 10, 2010
Key facts
- NPI
- 1134447618
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 6870 Highway 899
Pippa Passes, KY 41844-8935 - Phone
- (606) 368-3802
- NPI assigned
- May 10, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
6870 Highway 899
Pippa Passes, KY 41844-8935
Mailing address
115 Rockwood LN
Hazard, KY 41701-9415
Phone (606) 436-5761
Other providers in Pippa Passes, KY
- Rita Harvell
- Christine Hayes
- Christopher Hunter
- Robert Jackson
- Christy Johnson
- Zachary Johnson
- Kentucky River District Health Department
- Danville Tyler Little
- Brittany Marcum
- Rachel Noble
All providers in Pippa Passes, KY · Other Technician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.