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NPI Code Detail

MEDICARE: KAMARIA HARRIS-RUTHERFORD NP

MEDICARE: KAMARIA HARRIS-RUTHERFORD NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner53-77241-051KS
2363LF0000XFamily Nurse Practitioner2016004501MO

General Provider Information

NPI Number : 1437504743
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMARIA HARRIS-RUTHERFORD NP
Provider Business Mailing Address
First Line : 901 E 104TH ST # MS 400S
Second Line :
City : KANSAS CITY
State : MO
Zip : 64131-4517
Country : US
Telephone Number : 816-502-8752
Fax Number : 816-932-9670
Provider Business Practice Location Address
First Line : 4401 WORNALL RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-3220
Country : US
Telephone Number : 816-932-0340
Fax Number : 816-932-3148
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2016
Last Update Date : 04/08/2026

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