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:
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Health care specialties

SpecialtyCodeLicense #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 14 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 1497718035 NPPES
Massachusetts Other J21057 BCBS
Massachusetts MEDICAID 3196631 BCBS
Massachusetts Other 202098 BCBS

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