MEDICARE: KENNETH RUTH JR. M.D.

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
1	207L00000X	Anesthesiology Physician	65254	TN

General Provider Information

NPI Number	:	1851631667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH RUTH JR. M.D.

Provider Business Mailing Address
First Line	:	2803A WHITE OAK DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-1221
Country	:	US
Telephone Number	:	916-505-4969
Fax Number	:

Provider Business Practice Location Address
First Line	:	1310 24TH AVE S
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37212-2637
Country	:	US
Telephone Number	:	615-327-4751
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2013
Last Update Date	:	04/28/2026

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