Individual
DR. JAMES KEVIN RUDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1005 N JACKSON STE B, MAGNOLIA, AR 71753-2447
(870) 235-3200
Mailing address
PO BOX 629, MAGNOLIA, AR 71754-0629
(870) 235-3212
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E2959
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143805001
—
AR
01
—
200042255
RAILROAD MEDICARE
AR
Enumeration date
08/31/2005
Last updated
04/27/2022
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