Rutland, Kimberly Amelia

Rutland, Kimberly Amelia is an individual health care provider with primary practice located at 810 Sixth Ave , Sandpoint ID 83864-5396. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Rutland, Kimberly Amelia can be contacted via phone (208) 265-6252.

Contact Information

Primary practice address
810 Sixth Ave Sandpoint ID 83864-5396
Phone: (208) 265-6252
Fax: (208) 265-8214
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 78336 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X AP61044089 Washington

Profile Details

NPI number 1073174199
LBN Legal business name Rutland, Kimberly Amelia
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2019
Last updated Jan 16th, 2024 - about 8 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073174199 NPPES
Washington MEDICAID 2171876

Popular Providers