Mudd, Louis Gerald

Mudd, Louis Gerald is an individual health care provider with primary practice located at 720 E 2Nd Ave Ste 300, Bowling Green KY 42101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Mudd, Louis Gerald can be contacted via phone (270) 843-5037.

Contact Information

Primary practice address
720 E 2Nd Ave Ste 300 Bowling Green KY 42101
Phone: (270) 843-5037
Fax: (270) 796-2140
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 29954 Kentucky

Profile Details

NPI number 1780783456
LBN Legal business name Mudd, Louis Gerald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780783456 NPPES
Kentucky MEDICAID 64299548

Popular Providers