Individual
KRISTIN L RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
603 SENECA ST, STE 2, ONEIDA, NY 13421-2653
(315) 361-1041
(315) 361-1044
Mailing address
603 SENECA ST, STE 2, ONEIDA, NY 13421-2653
(315) 361-1041
(315) 361-1044
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
336386
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03241912
—
NY
Enumeration date
05/26/2010
Last updated
08/23/2013
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