Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kim Ann Rutherford, MD

Individual provider Pediatrics Physician · NPI 1013102649

Dr. Kim Ann Rutherford, MD is a Pediatrics Physician in Mineola, New York. Works from 2 locations. Licensed in Arizona and Pennsylvania.

Licensed in
AZ, PA
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

259 1st St
Mineola, NY 11501-3957
Phone: (717) 531-8955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 S Dobson Rd, Mesa, AZ 85202-4707 — (480) 456-9500

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence MD417166 (PA)
Pediatrics Physician Taxonomy 208000000X · Licence 37476 (AZ)
Pediatric Emergency Medicine (Pediatrics) Physician Taxonomy 2080P0204X · Licence 37476 (AZ)

Record details

NPI number1013102649
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 6, 2007
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021
Mailing address259 1st St, Mineola, NY 11501-3957

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