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NPI Code Detail

MEDICARE: CINDY G RUTTAN DO

MEDICARE: CINDY G RUTTAN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry PhysicianR6N11MO
22084P0805XGeriatric Psychiatry PhysicianR6N11MO
32084P0800XPsychiatry PhysicianR6N11MO

General Provider Information

NPI Number : 1699718254
Entity Type Code : Individual
Provider Name (Legal Business Name) : CINDY G RUTTAN DO
Provider Business Mailing Address
First Line : 900 E LAHARPE ST
Second Line :
City : KIRKSVILLE
State : MO
Zip : 63501-4520
Country : US
Telephone Number : 660-665-1962
Fax Number :
Provider Business Practice Location Address
First Line : 900 E LAHARPE ST
Second Line :
City : KIRKSVILLE
State : MO
Zip : 63501-4520
Country : US
Telephone Number : 660-665-1962
Fax Number : 660-665-3989
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 01/07/2026

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Directions to “ CINDY G RUTTAN DO” Practice Location

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