Kenneth H. Rudolph, M.d.

NPI 1043498512 - Internal Medicine - 207R00000X

NPI Details
NPI 1043498512
Enumeration Date 02/06/2008
Last Updated 06/09/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name KENNETH H KENNETH
Position OWNER
Phone (570) 343-3999
Fax (570) 343-2749
Practice Location
802 JEFFERSON AVE
SCRANTON PA, 18510-1038, US
Phone (570) 343-3999
Fax (570) 343-2749
Business Location
802 JEFFERSON AVE
SCRANTON PA, 18510-1038, US
Phone (570) 343-3999
Fax (570) 343-2749
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Kenneth H. Rudolph, M.d. NPI is 1043498512, taxonomy code is 207R00000X Kenneth H. Rudolph, M.d. physically located at 802 Jefferson Ave, Scranton PA, 18510-1038. NPI Number 1033115704 has the healthcare provider type.

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1043498512 NPI number is provided on an as is basis without warranty of any kind. 1043498512 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth H. Rudolph, M.d. are for informational purposes only.