Mallory Rose Kelley Rutledge, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MED-PHYS-LIC-171191 Issued in MT

Practice address

45 Medical Park Dr
Helena, MT 59601-4949

Phone

(406) 442-1914

NPI assigned

Apr 18, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mallory Rose Kelley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Specialty

Obstetrics/Gynecology

Education

Rocky Vista University College of Osteopathic Med, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1265175178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MEDICAL PARK DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MEDICAL PARK DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014949",
            "telephone_number": "406-442-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "MALLORY",
        "middle_name": "ROSE KELLEY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MT",
            "license": "MED-PHYS-LIC-171191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "KELLEY",
            "middle_name": "ROSE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cody Alan Rummel
• Kyrie Marks Russ, LCPC
• Terri Renee Russell, LAC
• Allison G Russo, DNP, PMHNP- BC
• Michael David Ruszkowski, PNP
• Daphne Massage & Healing Ce Ryan
• George W Ryan, LCPC
• Rye Family Chiropractic, P.C.
• Melinda Kim Ryser, LCSW
• S Wayne Chamberlin MD PSC

• Obstetrics & Gynecology Physician in Helena, MT
• Providers in Helena, MT by specialty
• Obstetrics & Gynecology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.