Provider Demographics
NPI:1245113166
Name:RUBLE, KALEIGH SUE
Entity type:Individual
Prefix:
First Name:KALEIGH
Middle Name:SUE
Last Name:RUBLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1291 SR 119
Mailing Address - Street 2:
Mailing Address - City:MINSTER
Mailing Address - State:OH
Mailing Address - Zip Code:45865
Mailing Address - Country:US
Mailing Address - Phone:765-748-3207
Mailing Address - Fax:
Practice Address - Street 1:522 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:SAINT HENRY
Practice Address - State:OH
Practice Address - Zip Code:45883-9777
Practice Address - Country:US
Practice Address - Phone:419-678-9800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator