Kathleen C. Rufolo, D.C.
Individual provider Active NPI Chiropractor · Schuylkill Haven, PA
NPI 1790770840 · NPPES record last updated Dec 18, 2012
Key facts
- NPI
- 1790770840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC004807-L (PA)
- Practice address
- 680 E Main St
Schuylkill Haven, PA 17972-1428 - Phone
- (570) 385-2860
- Fax
- (570) 385-3576
- NPI assigned
- Sep 14, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC004807-L | PA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC004807-L | PA | Yes |
Addresses
Primary practice location
680 E Main St
Schuylkill Haven, PA 17972-1428
Mailing address
680 E Main St
Schuylkill Haven, PA 17972-1428
Phone (570) 385-2860
Other providers in Schuylkill Haven, PA
- Rest Haven Operating, LLC
- Ann Marie C Roberts Blehm
- George L. Roberts
- Esther Rowan
- Herbert Charles Rubright Jr.
- Schuylkill Haven Area School District
- Schuylkill Nursing Assocation Inc.
- Schuylkill Therapy Associates
- Edward D Sesack
- Heather Lynn Shappell
All providers in Schuylkill Haven, PA · Chiropractor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.