| Doctor Name: | DR. KIM ANN RUTHERFORD |
| NPI Number: | 1013102649 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 37476 |
| Business Practice Address: | 1400 S Dobson Rd Mesa, AZ - 852024707 |
| Business Phone Number: | 4804569500 |
| Business Fax Number: | 4808207623 |
| Mailing Address: | Po Box 7127, PHOENIX |
| State: | AZ |
| Postal Code: | 850117127 |
| Phone Number: | 4804569500 |
| Fax Number: | 4808207623 |
| NPI Enumeration Date: | 09/06/2007 |
| NPI Last Update Date: | 09/06/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080P0204X |
| License Number: | 37476 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Pediatric Emergency Medicine |
| Taxonomy Definition: | A pediatrician who has special qualifications to manage emergencies in infants and children. |