Kelly Ruby is a Specialist in Lake Villa, Illinois. Kelly Ruby practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kelly Ruby is 1174531412. The last update date is 2007-07-08.
Kelly Ruby's current location address is 137 Cedar Avenue, Lake Villa, Illinois. You can contact this provider via phone number 8472657300 and fax number 8472657301. The mailing address for Kelly Ruby is 137 Cedar Avenue, Lake Villa, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Ruby |
|---|---|
| Address | 137 Cedar Avenue, Lake Villa, Illinois |
| Phone Number | 8472657300 |
| Fax Number | 8472657301 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1174531412 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 137 Cedar Avenue |
|---|---|
| City | Lake Villa |
| State | Illinois (IL) |
| Post Code | 60046 |
| Phone Number | 8472657300 |
| Fax Number | 8472657301 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kelly Ruby by the Centers for Medicare & Medicaid Services?
The Kelly Ruby has been assigned the NPI (National Provider Identifier) 1174531412 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Kelly Ruby is located?
The Kelly Ruby is situated at the following address: 137 Cedar Avenue, Lake Villa, IL, 60046.
What is Kelly Ruby's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kelly Ruby's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
When did Kelly Ruby receive its 1174531412 assignment?
The Kelly Ruby was assigned its 1174531412 on 2006-08-03, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Kelly Ruby last refreshed?
The information related to the Kelly Ruby, including its address, specialty, and other relevant details, was last updated on 2007-07-08.