Individual
HAROLD H. RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 LANGDON ST, STE P, SOMERSET, KY 42503-2750
(606) 676-0206
(606) 676-0220
Mailing address
PO BOX 719, SOMERSET, KY 42502-0719
(606) 676-0206
(606) 676-0220
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
23356
KY
208VP0000X
Pain Medicine Physician
23356
KY
208VP0014X
Interventional Pain Medicine Physician
Primary
23356
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64233562
—
KY
01
—
K084250
MEDICARE PTAN
KY
Enumeration date
06/11/2006
Last updated
08/12/2014
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