| NPI | 1790286532 |
|---|---|
| Former Name | BETHANY RAY RUCKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: KY KCCHW12307238) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: KY 1164221) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2025-04-18 |