Individual
MRS. KIM S RETHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
3170 GANZER RD W, DENTON, TX 76207-4467
(940) 368-2401
(940) 204-5588
Mailing address
3170 GANZER RD W, DENTON, TX 76207-4467
(940) 368-2401
(940) 204-5588
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99064
TX
Other
Enumeration date
11/10/2008
Last updated
09/17/2021
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