KELLEY RUTTER PA-C
NPI 1275176141
Physician Assistant in Albuquerque, NM

Active since October 23, 2019
1501 SAN PEDRO DR. SE, MEDICINE SERVICE (111), ALBUQUERQUE, NM 87108(505) 265-1711 Get Directions Write a Review

NPPES record last updated: October 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelley Rutter Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEY RUTTER PA-C (NPI 1275176141) is an individual physician assistant in Albuquerque, New Mexico, licensed in New Mexico (PA2019-0090) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1275176141
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLEY RUTTERCredential: PA-C
Location Address1501 SAN PEDRO DR. SE, MEDICINE SERVICE (111)Albuquerque, NM 87108
Mailing Address1501 San Pedro Dr. Se, Medicine Service (111)Albuquerque, NM 87108
Sole ProprietorNo
Enumeration DateOctober 23, 2019
NPI 1275176141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NM · PA2019-0090
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1501 SAN PEDRO DR. SE, Albuquerque, NM 87108

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1501 SAN PEDRO DR. SE, (119)
ALBUQUERQUE, NM 87108
Family Medicine
1501 SAN PEDRO DR. SE
ALBUQUERQUE, NM 87108
Technician (Attendant Care Provider)
1501 SAN PEDRO DR. SE
ALBUQUERQUE, NM 87108
Technician (Attendant Care Provider)
1501 SAN PEDRO DR. SE
ALBUQUERQUE, NM 87108
Technician (Attendant Care Provider)
1501 SAN PEDRO DR. SE
ALBUQUERQUE, NM 87108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Rutter's NPI number?

The NPI number for Kelley Rutter is 1275176141. It was assigned to this individual provider in the NPPES registry on October 23, 2019.

Where is Kelley Rutter located?

Kelley Rutter practices at 1501 San Pedro Dr. SE Medicine Service (111), Albuquerque, NM 87108. The listed phone number is (505) 265-1711.

What is Kelley Rutter's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kelley Rutter was last updated on October 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.