Search › New Mexico › Physician Assistant
Kyle Ruckman, PA-C
NPI 1952902934 · on the registry since 2020
Practice
- Address
- 630 W Maple St
Farmington, NM 87401 - Phone
- (505) 609-6349
- Fax
- (505) 609-2259
- Organisation at this address
- Dwayne L Gibbs Md Pc
San Juan Regional Medical Center IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico