| Dr Kenneth Eric Ruby, MD | |
|
30 Medpark Square, Suite 1, Somerset, KY 42503-3812 | |
| (606) 677-8360 | |
| (606) 677-8399 |
| Full Name | Dr Kenneth Eric Ruby |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 32 Years |
| Location | 30 Medpark Square, Somerset, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063419133 | NPI | - | NPPES |
| 64347073 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 34707 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Cumberland Regional Hospital | Somerset, KY | Hospital |
| Russell County Hospital | Russell springs, KY | Hospital |
| University Of Kentucky Hospital | Lexington, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Cumberland Physician Practices Llc | 2567510464 | 46 |
| Entity Name | Lake Cumberland Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811356892 PECOS PAC ID: 2567510464 Enrollment ID: O20090504000210 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Eric Ruby, MD 30 Medpark Square, Suite 1, Somerset, KY 42503-3812 Ph: (606) 677-8360 | Dr Kenneth Eric Ruby, MD 30 Medpark Square, Suite 1, Somerset, KY 42503-3812 Ph: (606) 677-8360 |
Dr. Cyril George Kohrman, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 401 Bogle St, Suite 103, Somerset, KY 42503 Phone: 606-677-2733 Fax: 606-679-7561 | |
Shawn Michael Acino, MD FACS Urology Medicare: Accepting Medicare Assignments Practice Location: 30 Medpark Square Dr, Ste 1, Somerset, KY 42503 Phone: 606-677-8360 Fax: 606-677-8399 |