Individual provider · Type 1 NPI
Andrew C. Rutherford, PA-C
Medical Physician Assistant · Cadiz, KY
NPI number
1629487301
Active
Practice location
250 Main St, Suite A
Cadiz, KY 42211-9153
Mailing address
4208 Victoria Way
Lexington, KY 40515-4822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA1945 (KY) |
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
3 other providers at this address
About NPI 1629487301
Andrew C. Rutherford, PA-C's National Provider Identifier is 1629487301, issued on Aug 7, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Cadiz, KY. The record was last updated on Nov 12, 2015.