Individual provider · Type 1 NPI

Kallen Ruddle

Student in an Organized Health Care Education/Training Program · Morgantown, WV

NPI number 1316804362 Active

Practice location

377 Gilmore St # B
Morgantown, WV 26505-4654

Call (480) 415-8448 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1316804362

Kallen Ruddle's National Provider Identifier is 1316804362, issued on Jan 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Morgantown, WV. The record was last updated on Jan 9, 2026.