Individual
AMERAH RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
56 MARIE LANGDON DR, MANCHESTER, KY 40962-6329
(606) 599-4080
(606) 598-1688
Mailing address
518 17TH ST, CORBIN, KY 40701-1923
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2020
Last updated
01/13/2022
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