Doctor Name: | ANDREW RUTHER |
NPI Number: | 1801263991 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 207 Fairgrounds Rd Hardinsburg, KY - 401432585 |
Business Phone Number: | 2707565816 |
Business Fax Number: | 2707565815 |
Mailing Address: | 461 Ashley Ln, IRVINGTON |
State: | KY |
Postal Code: | 401467122 |
Phone Number: | 2705475936 |
Fax Number: | |
NPI Enumeration Date: | 08/25/2015 |
NPI Last Update Date: | 08/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |