| Doctor Name: | MR. WILLIAM ANDREW RUGGLES |
| NPI Number: | 1750600870 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APRN |
| License Number: | 3273051 |
| Business Practice Address: | 137 State Route 3117 South Shore, KY - 411759597 |
| Business Phone Number: | 6069322079 |
| Business Fax Number: | 6069322313 |
| Mailing Address: | 137 State Route 3117, SOUTH SHORE |
| State: | KY |
| Postal Code: | 411759597 |
| Phone Number: | 6069322079 |
| Fax Number: | 6069322313 |
| NPI Enumeration Date: | 05/28/2010 |
| NPI Last Update Date: | 12/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 3273051 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |