Individual
MISS KAITLIN R RUETHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25500 POINT LOOKOUT RD, LEONARDTOWN, MD 20650-2015
(301) 475-8981
Mailing address
6232 HALYARD CT, ROCKLEDGE, FL 32955-5764
(321) 432-0057
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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