Individual provider · Type 1 NPI

Kendra M. Ruckman, PA-C

Physician Assistant · Melbourne, FL

NPI number 1942523600 Active

Practice location

205 E Nasa Blvd
Melbourne, FL 32901-1950

Fax (321) 434-3511

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X005799 (GA)
Physician Assistant Primary 363A00000XPA9106918 (FL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1942523600

Kendra M. Ruckman, PA-C's National Provider Identifier is 1942523600, issued on Mar 10, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Melbourne, FL. The record was last updated on Mar 12, 2020.