Dr. Retha Rene Rudloff , MD
General Practice • Lee's Summit, MO
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Retha Rudloff has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Retha Rudloff, MD was a registered General Practice practicing in Lee'S Summit, MO. Throughout an active medical career spanning 7 years, Dr. Rudloff provided care at the practice location at 1728 N.E. MISTY LANE until profile deactivation on 2019-12-05.
Practice Location & Contact Primary Location
1728 N.e. Misty Lane
Lee's Summit, MO 64086
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Lee's Summit, MO
Practicing in Lee's Summit, MO (221 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 05, 2019
NPI status registered as active in NPPES database
Registered at 1728 N.E. MISTY LANE, LEE'S SUMMIT, MO 64086 (Tel: 8165241631)
Registered at 1728 N.E. MISTY LANE, LEE'S SUMMIT, MO 64086 (Tel: 8165241631)
Recorded as RETHA RUDLOFF, MD
General Practice (License #R5398 in MO)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1728 N.e. Misty Lane
Lee's Summit, MO 64086
Phone: 8165241631
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