Individual
DR. KENNETH K RAUSCHENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1910 SOUTH RD, POUGHKEEPSIE, NY 12601-6027
(845) 454-0120
(845) 454-6080
Mailing address
1910 SOUTH RD, POUGHKEEPSIE, NY 12601-6027
(845) 454-0120
(845) 454-6080
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
213245
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01933760
—
NY
01
—
100016273
AFFINITY HEALTHPLAN
NY
01
—
10033385
CDPHP
NY
01
—
110355800
U.S. DEPT. OF LABOR
NY
01
—
187700
MVP HEALTHCARE
NY
01
—
200036796
RAIL ROAD MEDICARE
NY
01
—
2156641
AETNA
NY
01
—
5320
SIEBA
NY
01
—
7418989-001
CIGNA
NY
01
—
83G831
EMPIRE BC/BS
NY
01
—
OR-0000332
SELECT PROVIDERS
NY
01
—
P1278929
OXFORD FREEDOM PLAN
NY
Enumeration date
01/14/2006
Last updated
09/30/2015
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