Individual provider · Type 1 NPI

Kim Ann Rutherford, MD

Pediatric Emergency Medicine (Pediatrics) Physician · Mineola, NY

NPI number 1013102649 Active

Practice location

259 1st St
Mineola, NY 11501-3957

Other practice locations

  • 1400 S Dobson Rd, Mesa, AZ 85202-4707 · (480) 456-9500

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000X37476 (AZ)
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X37476 (AZ)
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204XMD417166 (PA)

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

866 other providers at this address

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About NPI 1013102649

Kim Ann Rutherford, MD's National Provider Identifier is 1013102649, issued on Sep 6, 2007. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Mineola, NY. The record was last updated on Mar 30, 2021.