Individual
KENNETH H RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
802 JEFFERSON AVE, SCRANTON, PA 18510-1038
(570) 343-3999
(570) 343-2749
Mailing address
802 JEFFERSON AVE, SCRANTON, PA 18510
(570) 343-3999
(570) 343-2749
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD021263E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000609340
—
PA
Enumeration date
01/13/2006
Last updated
06/13/2008
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