Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathryn Renee Ruliffson, PA-C

Individual provider Physician Assistant · NPI 1922278696

Kathryn Renee Ruliffson, PA-C is a Physician Assistant in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona and California.

Licensed in
AZ, CA
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2488 E Glenhaven Dr
Phoenix, AZ 85048-8204
Phone: (540) 421-9822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7447 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 53818 (CA)

Record details

NPI number1922278696
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 9, 2008
Last updated in NPPESJuly 28, 2021
Certification dateJuly 28, 2021

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