Individual
HEATHER LOUISE RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, ST ELIZABETH HEALTHCARE, EDGEWOOD, KY 41017-3403
(859) 301-2000
(859) 301-2073
Mailing address
PO BOX 636324, ST ELIZABETH HEALTHCARE, CINCINNATI, OH 45263-6324
(859) 301-2018
(859) 301-2073
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
35343
KY
207ZH0000X
Hematology (Pathology) Physician
35343
KY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01067350A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35343
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100088540
—
KY
Enumeration date
09/14/2006
Last updated
04/05/2021
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