Kanesha Elise Rutherford, MS

NPI #1619342060 in Vinita, Oklahoma

Provider Information

NPI Number: 1619342060
Entity Type: Individual
Name: Kanesha Elise Rutherford, MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Credential: MS
Enumeration Date: Dec 10, 2015
Last Updated: Nov 20, 2019

Practice Location

Address: 405 E EXCELSIOR AVE
City: Vinita
State: Oklahoma
ZIP Code: 74301-4226
Phone: (918) 256-6476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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