Provider Demographics
NPI:1730409863
Name:RUMFIELD, KAILIN T (CRNP)
Entity type:Individual
Prefix:
First Name:KAILIN
Middle Name:T
Last Name:RUMFIELD
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:KAILIN
Other - Middle Name:
Other - Last Name:SLOWICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2100 MACK BLVD FL 4
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-5622
Mailing Address - Country:US
Mailing Address - Phone:484-884-0469
Mailing Address - Fax:484-884-0628
Practice Address - Street 1:401 N 17TH ST STE 203
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-5050
Practice Address - Country:US
Practice Address - Phone:610-969-3230
Practice Address - Fax:610-969-3235
Is Sole Proprietor?:No
Enumeration Date:2010-06-11
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP010613363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics