Healthcare Provider Details

I. General information

NPI: 1720990666
Provider Name (Legal Business Name): KATE LYNNE RUFENER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 W SLINGLUFF AVE
DOVER OH
44622-2749
US

IV. Provider business mailing address

114 W SLINGLUFF AVE
DOVER OH
44622-2749
US

V. Phone/Fax

Practice location:
  • Phone: 330-204-5819
  • Fax:
Mailing address:
  • Phone: 330-204-5819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: