Kellie Anne Rutherford, NP

Pediatric Nurse Practitioner · Midlothian, VA

Individual Active NPI

NPI number 1679049092

Practice location

5955 Harbour Park Dr
Midlothian, VA 23112-2163
Phone
(804) 744-4495

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NPI record

NPI
1679049092
Entity type
Individual (Type 1)
Enumeration date
October 24, 2018
Last updated
August 22, 2024
Certified
August 22, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Nurse Practitioner Primary 363LP0200X 0024176699 VA

About Kellie Rutherford

Kellie Anne Rutherford, NP is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Nurse Practitioner (code 363LP0200X). The practice location is 5955 Harbour Park Dr, Midlothian, VA 23112-2163. The NPI number 1679049092 was assigned on October 24, 2018 and the record was last updated on August 22, 2024.

Kellie Rutherford lists a license in the registry: #0024176699 (VA) for Pediatric Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kellie Anne Rutherford, NP?

The NPI number is 1679049092.

What is the phone number of Kellie Rutherford?

The phone number listed for the practice location is (804) 744-4495.

Where is Kellie Rutherford located?

5955 Harbour Park Dr, Midlothian, VA 23112-2163.

What is the taxonomy code for Kellie Rutherford?

The primary taxonomy code is 363LP0200X – Pediatric Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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