Rudisel, Kevin M.

Rudisel, Kevin M. is an individual health care provider with primary practice located at 1500 Matthews Township Pkwy , Matthews NC 28105-4656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Rudisel, Kevin M. can be contacted via phone (704) 384-5420.

Contact Information

Primary practice address
1500 Matthews Township Pkwy Matthews NC 28105-4656
Phone: (704) 384-5420
Fax: (704) 384-5424
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34148 North Carolina

Profile Details

NPI number 1053389239
LBN Legal business name Rudisel, Kevin M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Nov 2nd, 2011 - about 13 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 1053389239 NPPES
South Carolina MEDICAID N34148
South Carolina MEDICAID 8973841

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