Provider Demographics
NPI:1184330490
Name:REYER, RUTH KAREN
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:KAREN
Last Name:REYER
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 1:8228 SAINT ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-1905
Mailing Address - Country:US
Mailing Address - Phone:859-630-4000
Mailing Address - Fax:
Practice Address - Street 1:8228 SAINT ANDREWS DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-1905
Practice Address - Country:US
Practice Address - Phone:859-630-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9801165Medicaid