Rudman, Kathryn M
Rudman, Kathryn M is an individual health care provider with primary practice located at 150 Ansel Hallet Rd , West Yarmouth MA 02673. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rudman, Kathryn M can be contacted via phone (508) 771-8350.Contact Information
Primary practice address
150 Ansel Hallet Rd
West Yarmouth MA 02673
Phone: (508) 771-8350
Fax: (508) 771-8060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 158388 | Massachusetts |
Profile Details
| NPI number | 1497718035 |
|---|---|
| LBN Legal business name | Rudman, Kathryn M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Apr 22nd, 2010 - about 16 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 | 1497718035 | NPPES |
| Massachusetts | Other | J21057 | BCBS |
| Massachusetts | MEDICAID | 3196631 | BCBS |
| Massachusetts | Other | 202098 | BCBS |
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