KAYLIN RUCKER (NPI# 1417412933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417412933 |
| Entity Type | Individual |
| Full Name | KAYLIN RUCKER |
| Practice Address |
2514 Tarkington Way Louisville KY 40258-3358 |
| Practice Telephone | 5024329684 |
| Mailing Telephone | 5024329684 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 390200000X | Student, Health Care |
| Street Address |
2514 TARKINGTON WAY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40258-3358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519810 | Natalie Calhoun | Nursing Care | 6706 Wyckoff Court, Louisville, KY 40258 | 2020-08-20 |
| 1710597075 | Breanna Albright | Nurse Practitioner | 8594 Dixie Highway, Lou, KY 40258 | 2020-08-03 |
| 1528548831 | Assocaites In Pediatric Therapy LLC | Physical Therapist | 3110 Creek Drive, Lousiville, KY 40258 | 2018-08-16 |
| 1972097277 | D & D Dental Enterprises | Clinic/Center | 6790 Dixie Hwy, Louisville, KY 40258 | 2018-06-20 |
| 1295259695 | Antonio Lavelle Booker | Pharmacist | 7500 Terry Road, Louisville, KY 40258 | 2017-07-28 |
| 1568880037 | All About Your Hair LLC | Specialist | 7828 Westbrook Rd, Louisville, KY 40258 | 2014-04-02 |
| 1700215019 | Anna Solce | Pharmacist | 7338 Dixie Highway, Louisville, KY 40258 | 2013-11-06 |
| 1427147206 | Eric A. Burnett | Internal Medicine | 8019 Dixie Hwy Suite101, Jencare Neighborhood Medical Center Valley Station LLC, Louisville, KY 40258 | 2006-10-12 |
| 1861585531 | Amy B. Farnsworth | Dentist | 7206 Dixie Hwy., Louisville, KY 40258 | 2006-10-02 |
| 1720096951 | Endodontic Associates of Louisville Pllc | Dentist | 7214 Dixie Hwy, Louisville, KY 40258 | 2006-08-03 |
| Find all providers in zip 40258 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566553 | Kenley N Joelson | Student in an Organized Health Care Education/Training Program | 2400 S 4th St Unit 710, Louisville, KY 40208-1526 | 2020-10-21 |
| 1235746512 | Nina S Smith | Student in an Organized Health Care Education/Training Program | 1115 Garvin Pl # 120, Louisville, KY 40203-3178 | 2020-09-30 |
| 1215541834 | Sarah Sloan Goldberg | Student in an Organized Health Care Education/Training Program | 11201 Bodley Dr, Louisville, KY 40223-1387 | 2020-09-01 |
| 1396361630 | Teylor Elizabeth Harrity | Student in an Organized Health Care Education/Training Program | 123 Woodruff 5 Rd, Louisville, MS 39339-7740 | 2020-06-23 |
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1790308161 | Sue Ann Heironimus | Student in an Organized Health Care Education/Training Program | 7516 Creekton Dr, Louisville, KY 40241-6430 | 2020-05-20 |
| 1780207274 | Isabel Misha Vyazmensky | Student in an Organized Health Care Education/Training Program | 2211 S Brook St Room 105, Louisville, KY 40292-2442 | 2020-05-19 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1831711027 | James Stephen Stotts | Student in an Organized Health Care Education/Training Program | 3018 Carson Way, Louisville, KY 40205-3116 | 2020-05-11 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40258 |
Please comment or provide details below to improve the information on KAYLIN RUCKER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.