SHANNON RUTHERFORD

HARLAN, KY
NPI1548492952
Former NameSHANNON WILDER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: KY  3006169)
Enumeration Date2009-08-18
Last Update Date2022-07-21
Business Address
-- SHANNON RUTHERFORD NP-C
132 VILLAGE CENTER RD
HARLAN, KY 40831-1777
Phone number: 606-573-7771
Mailing Address
-- SHANNON RUTHERFORD NP-C
PO BOX 40
WHITESBURG, KY 41858-0040
Phone number: 606-633-4823
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