Dr. Kim Ann Rutherford
Pediatrician Pediatric Emergency Doctor
259 1st St
Mineola
, New York 11501-3957
Dr. Kim Ann Rutherford
Pediatrician Pediatric Emergency Doctor
259 1st St
Mineola
, New York 11501-3957
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About
Features
Specialties
- Pediatrician
- Pediatric Emergency Doctor
Languages spoken
- English
Location
First Address
- Dr. Kim Ann Rutherford
- 259 1st St
- Mineola, NY
- Zip : 11501-3957
- Phone :
Second Address
- Dr. Kim Ann Rutherford
- 259 1st St
- Mineola, NY
- Zip : 11501-3957
- Phone : (717) 531-8955
Reviews
FAQs
Where did Dr. Kim Ann Rutherford attend graduate school?
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What type of doctor is Dr. Kim Ann Rutherford
In what state does Dr. Kim Ann Rutherford practice in?
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Is Dr. Kim Ann Rutherford a sole practitioner?
Is Dr. Kim Ann Rutherford accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 37476 | AZ |
| N | 2080P0204X | Pediatric Emergency Doctor | 37476 | AZ |
| Y | 2080P0204X | Pediatric Emergency Doctor | MD417166 | PA |
National Provider Identifier
| NPI | 1013102649 |
|---|---|
| Provider Name | Dr. Kim Ann Rutherford |
| First Address | Mineola, NY 11501-3957 |
| Second Address | Mineola, NY 11501-3957 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/09/2007 |
| Last Update Date | 30/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001868391 | (05) | PA |
| 169184 | MEDICARE (01) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.