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Individual

KYLE RUTLEDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O., PH.D.

Contact information

Practice address
730 BIDDLE RD, MEDFORD, OR 97504-6116
(541) 535-6239
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
5101023280
MI
2084P0800X
Psychiatry Physician
5101025230
MI
2084P0800X
Psychiatry Physician
Primary
DO210542
OR
2084P0804X
Child & Adolescent Psychiatry Physician
DO210542
OR

Other

Enumeration date
04/14/2015
Last updated
07/12/2022
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