Provider Demographics
NPI:1598453524
Name:MANN-KANE, RUBY J
Entity Type:Individual
Prefix:
First Name:RUBY
Middle Name:J
Last Name:MANN-KANE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:965 TRISTAN CT
Mailing Address - Street 2:
Mailing Address - City:WEST CARROLLTON
Mailing Address - State:OH
Mailing Address - Zip Code:45449-2426
Mailing Address - Country:US
Mailing Address - Phone:937-503-9290
Mailing Address - Fax:
Practice Address - Street 1:965 TRISTAN CT
Practice Address - Street 2:
Practice Address - City:WEST CARROLLTON
Practice Address - State:OH
Practice Address - Zip Code:45449-2426
Practice Address - Country:US
Practice Address - Phone:937-503-9290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker