Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 38762 | KY |
N | 111NI0900X | Internist | 38762 | KY |
N | 207R00000X | Internist | KY 38762 | KY |
N | 111NI0900X | Internist | KY 38762 | KY |
Y | 207RH0002X | Hospice and Palliative Medicine | 38762 | KY |
NPI | 1104925023 |
---|---|
Provider Name | Dr. Ruth Margaret Simons |
First Address | Louisville, KY 40205-3224 |
Second Address | Louisville, KY 40205-3224 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 18/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
50007366 | PASSPORT (01) | |
64104961 | (05) | KY |
I33856 | (02) | |
I33856 | (02) | KY |
P00915027 | MEDICARE RR (01) | KY |