Individual provider · Type 1 NPI

Kyle Ellis Ruckman, PA-C

Physician Assistant · Farmington, NM

NPI number 1952902934 Active

Practice location

630 W Maple St
Farmington, NM 87401-6113

Call (505) 609-6349 Map

Fax (505) 609-2259

Mailing address

PO Box 844088
Dallas, TX 75284-4088

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA2020-0115 (NM)
Physician Assistant Primary 363A00000XNone listed

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 1952902934

Kyle Ellis Ruckman, PA-C's National Provider Identifier is 1952902934, issued on Nov 5, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Farmington, NM. The record was last updated on Nov 12, 2024.