Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KALI RENEE RUTHERFORD, PA
ActiveKALI RENEE RUTHERFORD, PA is a Physician Assistant healthcare provider located in JACKSBORO, Tennessee. NPI 1164275566 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · JACKSBORO, TN
Registration Details
- NPI Number
- 1164275566
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 8, 2024 (2.2060933243376 yrs)
- Last Updated
- Apr 10, 2024
- License
-
5906 (TN)
Practice Information
- Address
-
2707 JACKSBORO PIKE STE 2JACKSBORO, TN, 377572752Browse TN providers · Browse ZIP 37757
- Phone
- 4234378576
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in JACKSBORO, TN
| Name | Credential | NPI |
|---|---|---|
| ANTHONY BAIRD | PA-C | 1104346667 |
| CHELSEA M THACKER | PA-C | 1124867130 |
| CHARLEY CROCKETT | — | 1376419960 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.