Healthcare Provider Details

I. General information

NPI: 1225488893
Provider Name (Legal Business Name): GAIL KATHLEEN HENRY-RUHL RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GAIL KATHLEEN BAKER R.D.

II. Dates (important events)

Enumeration Date: 06/15/2016
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 HARRISBURG PIKE STE 300
LANCASTER PA
17601-2644
US

IV. Provider business mailing address

2150 HARRISBURG PIKE STE 300
LANCASTER PA
17601-2644
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-2935
  • Fax: 717-544-3935
Mailing address:
  • Phone: 717-571-6419
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN004650
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: