Rutherford, Kellie Anne
Rutherford, Kellie Anne is an sole proprietor health care provider with primary practice located at 7605 Forest Ave Ste 102 , Henrico VA 23229-4936. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Rutherford, Kellie Anne can be contacted via phone (804) 288-3069.Contact Information
Primary practice address
7605 Forest Ave Ste 102
Henrico VA 23229-4936
Phone: (804) 288-3069
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 0024176699 | Virginia |
Profile Details
| NPI number | 1679049092 |
|---|---|
| LBN Legal business name | Rutherford, Kellie Anne |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2018 |
| Last updated | May 25th, 2024 - about last year |
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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