Rudman, Kenneth Samuel

Rudman, Kenneth Samuel is an individual health care provider with primary practice located at 1540 Lake Lansing Rd Suite G06, Lansing MI 48912-3756. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Rudman, Kenneth Samuel can be contacted via phone (517) 482-7246.

Contact Information

Primary practice address
1540 Lake Lansing Rd Suite G06 Lansing MI 48912-3756
Phone: (517) 482-7246
Fax: (517) 484-7377
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301049943 Michigan
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 4301049943 Michigan
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 4301049943 Michigan
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 4301049943 Michigan

Profile Details

NPI number 1558322214
LBN Legal business name Rudman, Kenneth Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Apr 17th, 2009 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558322214 NPPES
Michigan MEDICAID 2919118
Michigan MEDICAID 1984819

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