Individual
KIMBERLEY D RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
599 FARMINGTON AVE STE 102, FARMINGTON, CT 06032-2383
(860) 284-4950
(860) 284-4951
Mailing address
599 FARMINGTON AVE STE 102, FARMINGTON, CT 06032-2383
(860) 284-4950
(860) 284-4951
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
256192
MA
207Y00000X
Otolaryngology Physician
Primary
54829
CT
207YS0123X
Facial Plastic Surgery Physician
54829
CT
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
54829
CT
Other
Enumeration date
07/10/2007
Last updated
05/23/2025
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