Kathy Diane Rudick

NPI 1700104627 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1700104627
Gender Female
Enumeration Date 05/17/2010
Last Updated 05/17/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1901 WOODSPRINGS RD
JONESBORO AR, 72401-0936, US
Phone (870) 268-6962
Fax
Business Location
1901 WOODSPRINGS RD
JONESBORO AR, 72401-0936, US
Phone (870) 268-6962
Fax
Toxanomy
Taxonomy Code 363LF0000X
License State Arkansas
License Number A03377
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According to our database, Kathy Diane Rudick NPI is 1700104627, taxonomy code is 363LF0000X and license number is A03377, license state is located at Arkansas. Kathy Diane Rudick physically located at 1901 Woodsprings Rd, Jonesboro AR, 72401-0936. NPI Number Kathy Diane Rudick has the Individual type.

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1700104627 NPI number is provided on an as is basis without warranty of any kind. 1700104627 is maintained by the National Plan & Provider Enumeration System. The contents of Kathy Diane Rudick are for informational purposes only.