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Individual

KYLE EHRMAN RUSTHOVEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3500 ARENDELL ST, MOREHEAD CITY, NC 28557-2901
(252) 499-6191
(252) 499-6948
Mailing address
PO BOX 1142, MOREHEAD CITY, NC 28557-1142
(252) 499-6191
(252) 499-6948

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
2010-00402
NC
2085R0001X
Radiation Oncology Physician
Primary
2010-00402
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1316093081
NC
Enumeration date
01/26/2007
Last updated
08/11/2025
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