Rutledge, Bryan Kyle

Rutledge, Bryan Kyle is an individual health care provider with primary practice located at 200 Greenfield Pkwy , Liverpool NY 13088-6655. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Rutledge, Bryan Kyle can be contacted via phone (315) 445-8166.

Contact Information

Primary practice address
200 Greenfield Pkwy Liverpool NY 13088-6655
Phone: (315) 445-8166
Fax: (315) 445-2697
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 203254 New York
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 203254 New York

Profile Details

NPI number 1053307272
LBN Legal business name Rutledge, Bryan Kyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Aug 21st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053307272 NPPES
New York MEDICAID 01668437

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