Christian Rutherford
Student in an Organized Health Care Education/Training Program in Kirksville, MO. Individual provider (NPI-1).
NPI number1013779529
StatusActive
Last updated in NPPESJan 29, 2024
Details
- NPI
- 1013779529
- Entity type
- Individual (NPI-1)
- Name
- Christian Rutherford
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 29, 2024
- Certification date
- Jan 29, 2024
- Last updated
- Jan 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
800 W Jefferson StKirksville, MO 63501-1443
Phone 660-626-2121
Mailing address
115 W Jefferson St Apt 2Kirksville, MO 63501-3538
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All 158 Student in an Organized Health Care Education/Training Program providers in Kirksville · All 905 providers in Kirksville
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