Individual
KALA RUTHERFORD STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 HEALTH CARE DR STE 12, PENNINGTON GAP, VA 24277-2853
(276) 546-4894
Mailing address
127 HEALTH CARE DR STE 12, PENNINGTON GAP, VA 24277-2853
(276) 546-4894
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0024180271
VA
Other
Enumeration date
09/30/2020
Last updated
11/24/2025
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