Doctor Name: | MS. RUBY COMBS |
NPI Number: | 1003247941 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 1114224 |
Business Practice Address: | 65 Old Springfield Rd Lebanon, KY - 400339185 |
Business Phone Number: | 2704038625 |
Business Fax Number: | |
Mailing Address: | 65 Old Springfield Rd, LEBANON |
State: | KY |
Postal Code: | 400339185 |
Phone Number: | 2704038625 |
Fax Number: | |
NPI Enumeration Date: | 12/03/2013 |
NPI Last Update Date: | 12/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 1114224 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |