# DR. MELISSA VOSCHE' RUTLAND AVERY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508044363
- **Gender:** F
- **Credential:** MD MMM CPEFAAFPFAAPL

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 35143 | KY | Yes |
| 207Q00000X | Family Medicine Physician | 12682 | NV | — |
| 207Q00000X | Family Medicine Physician | 19882 | SC | — |
| 207Q00000X | Family Medicine Physician | 32240 | TN | — |
| 207Q00000X | Family Medicine Physician | 35143 | KY | — |

## Other

- **Enumeration date:** 02/04/2008
- **Last updated:** 12/26/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000705140 | ANTHEM-NICC | KY |
| 05 | — | 7100123760 | — | KY |