Provider Demographics
NPI:1003507815
Name:MCCLEERY, RUTH (CPD)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:MCCLEERY
Suffix:
Gender:F
Credentials:CPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3616 WINDSOR AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64123-1140
Mailing Address - Country:US
Mailing Address - Phone:913-289-2460
Mailing Address - Fax:
Practice Address - Street 1:748 ANN AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66101-3014
Practice Address - Country:US
Practice Address - Phone:913-289-2460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula