Kudelko, Paul Edward

Kudelko, Paul Edward is an individual health care provider with primary practice located at 353 New Shackle Island Rd Suite 300C, Hendersonville TN 37075-2379. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Kudelko, Paul Edward can be contacted via phone (615) 824-0043.

Contact Information

Primary practice address
353 New Shackle Island Rd Suite 300C Hendersonville TN 37075-2379
Phone: (615) 824-0043
Fax: (615) 822-1690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X DO 2430 Tennessee
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X DO 2430 Tennessee

Profile Details

NPI number 1225027014
LBN Legal business name Kudelko, Paul Edward
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Feb 1st, 2022 - about 2 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 1225027014 NPPES
Tennessee MEDICAID 1530417

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