MEDICARE: KALEE RUTH HOVETTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1780525345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KALEE RUTH HOVETTER

Provider Business Mailing Address
First Line	:	7210 TALHELM RD
Second Line	:
City	:	CHAMBERSBURG
State	:	PA
Zip	:	17202-9326
Country	:	US
Telephone Number	:	717-491-5482
Fax Number	:

Provider Business Practice Location Address
First Line	:	5230 CENTRE AVE FL 2
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-1304
Country	:	US
Telephone Number	:	412-623-2287
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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