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NPI Code Detail

MEDICARE: DR. KENNETH A RULE MD

MEDICARE: DR. KENNETH A RULE MD
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
12085R0202XDiagnostic Radiology PhysicianMD16272TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891798088
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH A RULE MD
Provider Business Mailing Address
First Line : 2240 SUTHERLAND AVE STE 107
Second Line :
City : KNOXVILLE
State : TN
Zip : 37919-2333
Country : US
Telephone Number : 865-584-7376
Fax Number : 865-584-8938
Provider Business Practice Location Address
First Line : 1924 ALCOA HWY
Second Line :
City : KNOXVILLE
State : TN
Zip : 37920-1511
Country : US
Telephone Number : 865-584-7376
Fax Number : 865-584-8938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 11/17/2017

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Directions to “ DR. KENNETH A RULE MD” Practice Location

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