Individual provider · Type 1 NPI
Kenya Ruan, CSA
Surgical Physician Assistant · Lithonia, GA
NPI number
1265608269
Active
Practice location
5885 Strathmoor Manor Cir
Lithonia, GA 30058-2620
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 3136 (GA) |
Surgical Physician Assistant: Definition to come...
About NPI 1265608269
Kenya Ruan, CSA's National Provider Identifier is 1265608269, issued on Apr 30, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lithonia, GA. The record was last updated on Apr 30, 2008.