Kenneth H Rudolph in Scranton - Internal Medicine
Kenneth H Rudolph - NPI 1578542999
Kenneth H Rudolph is a Internal Medicine in Scranton, Pennsylvania. Kenneth H Rudolph practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kenneth H Rudolph is 1578542999. The last update date is 2008-06-13.
Kenneth H Rudolph's current location address is 802 Jefferson Ave, Scranton, Pennsylvania. You can contact this provider via phone number 5703433999 and fax number 5703432749. The mailing address for Kenneth H Rudolph is 802 Jefferson Ave, Scranton, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth H Rudolph |
|---|---|
| Address | 802 Jefferson Ave, Scranton, Pennsylvania |
| Phone Number | 5703433999 |
| Fax Number | 5703432749 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1578542999 |
|---|---|
| Provider Enumeration Date | 2006-01-13 |
| Last Updated Date | 2008-06-13 |
Provider Mailing Address Detail
| Address | 802 Jefferson Ave |
|---|---|
| City | Scranton |
| State | Pennsylvania (PA) |
| Post Code | 18510 |
| Phone Number | 5703433999 |
| Fax Number | 5703432749 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | MD021263E |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 609340 | PA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth H Rudolph by the Centers for Medicare & Medicaid Services?
The Kenneth H Rudolph has been assigned the NPI (National Provider Identifier) 1578542999. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Kenneth H Rudolph's facilities are geographically located?
The facilities of Kenneth H Rudolph are physically situated at the following location: 802 Jefferson Ave, Scranton, PA, 18510.
What is Kenneth H Rudolph's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth H Rudolph's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
When was the Kenneth H Rudolph's 1578542999 issued?
The Kenneth H Rudolph's 1578542999 was issued on 2006-01-13.
When was the information pertaining to Kenneth H Rudolph most recently updated or revised?
The details related to Kenneth H Rudolph, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-13.