Healthcare Provider Details

I. General information

NPI: 1265170260
Provider Name (Legal Business Name): ANNE RUBLE RECKER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2022
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 E COLLEGE DR
COLBY KS
67701-3716
US

IV. Provider business mailing address

310 E COLLEGE DR
COLBY KS
67701-3716
US

V. Phone/Fax

Practice location:
  • Phone: 785-462-7511
  • Fax:
Mailing address:
  • Phone: 785-462-7511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD.61676624
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: