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KALLEN RUDDLE
NPI 1316804362
Student in an Organized Health Care Education/Training Program in Morgantown, WV

Active since January 09, 2026
377 GILMORE ST # B, MORGANTOWN, WV 26505(480) 415-8448 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kallen Ruddle NPPES

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

KALLEN RUDDLE (NPI 1316804362) is an individual student in an organized health care education/training program in Morgantown, West Virginia and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1316804362
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameKALLEN RUDDLE
Location Address377 GILMORE ST # BMorgantown, WV 26505-4654
Mailing Address377 Gilmore St # BMorgantown, WV 26505-4654
Phone(480) 415-8448
Sole ProprietorYes
Enumeration DateJanuary 9, 2026
NPPES CertifiedJanuary 9, 2026
✔ NPI 1316804362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
377 GILMORE ST # B, Morgantown, WV 26505
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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 Kallen Ruddle's NPI number?

The NPI number for Kallen Ruddle is 1316804362. It was assigned to this individual provider in the NPPES registry on January 9, 2026.

Where is Kallen Ruddle located?

Kallen Ruddle practices at 377 Gilmore St # B, Morgantown, WV 26505. The listed phone number is (480) 415-8448.

What is Kallen Ruddle's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kallen Ruddle was last updated on January 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.