Mudd, Jeffrey
Mudd, Jeffrey is an sole proprietor health care provider with primary practice located at 2605 Kentucky Ave Drs Bldg 3 Suite 501, Paducah KY 42003-3800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mudd, Jeffrey can be contacted via phone (270) 744-9600.Contact Information
Primary practice address
2605 Kentucky Ave Drs Bldg 3 Suite 501
Paducah KY 42003-3800
Phone: (270) 744-9600
Fax: (270) 744-0834
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 30516 | Kentucky |
Profile Details
| NPI number | 1518952480 |
|---|---|
| LBN Legal business name | Mudd, Jeffrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Dec 6th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518952480 | NPPES |
| Kentucky | MEDICAID | 64305162 |
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