Provider Demographics
NPI:1861653180
Name:RUSCHER, KIMBERLY ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:ANN
Last Name:RUSCHER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3377 RIVERBEND DR
Mailing Address - Street 2:PEACEHEALTH - PEDIATRIC SURGERY
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97477-8803
Mailing Address - Country:US
Mailing Address - Phone:541-222-6135
Mailing Address - Fax:541-222-6134
Practice Address - Street 1:3377 RIVERBEND DR
Practice Address - Street 2:PEACEHEALTH - PEDIATRIC SURGERY
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-8803
Practice Address - Country:US
Practice Address - Phone:541-222-6135
Practice Address - Fax:541-222-6134
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2016-03-01
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Provider Licenses
StateLicense IDTaxonomies
ORMD162813208600000X, 2086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery