| Doctor Name: | KENNETH RUTH |
| NPI Number: | 1851631667 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 0101256723 |
| Business Practice Address: | 3475 N Saratoga St Oak Harbor, WA - 982784927 |
| Business Phone Number: | 6195328038 |
| Business Fax Number: | |
| Mailing Address: | 6110 Parkside Dr, ANACORTES |
| State: | WA |
| Postal Code: | 982214008 |
| Phone Number: | 9165054969 |
| Fax Number: | |
| NPI Enumeration Date: | 02/15/2013 |
| NPI Last Update Date: | 06/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0101256723 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |