Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AUDREY KAY RUTHERFORD, MD
ActiveDR. AUDREY KAY RUTHERFORD, MD is a Dermatology healthcare provider located in CENTERVILLE, Utah. NPI 1366946899 is currently active in the NPPES registry. Verify at CMS.
Dermatology · CENTERVILLE, UT
Registration Details
- NPI Number
- 1366946899
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 20, 2018 (8.4401331149073 yrs)
- Last Updated
- Sep 29, 2022
- License
-
12829524-1205 (UT)
Practice Information
- Address
-
1222 W LEGACY CROSSING BLVD STE 200CENTERVILLE, UT, 840145560Browse UT providers · Browse ZIP 84014
- Phone
- 8015490570
- Primary Specialty
-
Dermatology
207N00000X
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.