| Kenneth H. Rudolph, M.d. | |
|
802 Jefferson Ave Scranton PA 18510-1038 | |
| (570) 343-3999 | |
| (570) 343-2749 |
| Full Name | Kenneth H. Rudolph, M.d. |
|---|---|
| Speciality | Internal Medicine |
| Location | 802 Jefferson Ave, Scranton, Pennsylvania |
| Authorized Official Name and Position | Kenneth H Rudolph (OWNER) |
| Authorized Official Contact | 5703433999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth H. Rudolph, M.d. 802 Jefferson Ave Scranton PA 18510-1038 Ph: (570) 343-3999 | Kenneth H. Rudolph, M.d. 802 Jefferson Ave Scranton PA 18510-1038 Ph: (570) 343-3999 |
| NPI Number | 1043498512 |
|---|---|
| Provider Enumeration Date | 02/06/2008 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043498512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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