Rutherford, Kanesha Elise

Rutherford, Kanesha Elise is an individual health care provider with primary practice located at 405 E Excelsior Ave , Vinita OK 74301-4226. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Rutherford, Kanesha Elise can be contacted via phone (918) 256-6476.

Contact Information

Primary practice address
405 E Excelsior Ave Vinita OK 74301-4226
Phone: (918) 256-6476
Fax: (918) 256-3628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1619342060
LBN Legal business name Rutherford, Kanesha Elise
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2015
Last updated Nov 20th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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