Provider Demographics
NPI:1891227518
Name:KILMER, RUTH ANN (RN, RNFA, CNOR, BSN)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:ANN
Last Name:KILMER
Suffix:
Gender:F
Credentials:RN, RNFA, CNOR, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 ROUTE 73 S
Mailing Address - Street 2:SUITE 301
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4141
Mailing Address - Country:US
Mailing Address - Phone:609-601-4920
Mailing Address - Fax:609-601-4920
Practice Address - Street 1:750 ROUTE 73 S
Practice Address - Street 2:SUITE 301
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-4141
Practice Address - Country:US
Practice Address - Phone:609-601-4920
Practice Address - Fax:609-601-4920
Is Sole Proprietor?:No
Enumeration Date:2017-03-31
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR17194600163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ26NR17194600OtherNURSING LICENSE FOR NEW JERSEY
PARN2557446LOtherNURSING LICENSE FOR PENNSYLVANIA