Rutherford, Kim Ann

Rutherford, Kim Ann is an individual health care provider with primary practice located at 259 1St St , Mineola NY 11501-3957. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Rutherford, Kim Ann can be contacted via phone (717) 531-8955.

Contact Information

Primary practice address
259 1St St Mineola NY 11501-3957
Phone: (717) 531-8955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 37476 Arizona
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 37476 Arizona
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MD417166 Pennsylvania

Profile Details

NPI number 1013102649
LBN Legal business name Rutherford, Kim Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2007
Last updated Mar 30th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013102649 NPPES
Pennsylvania Other 169184 MEDICARE
Pennsylvania MEDICAID 001868391 MEDICARE

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