Rudman, Kenneth J
Rudman, Kenneth J is an individual health care provider with primary practice located at 35 Veterans Memorial Dr , Warwick RI 02886-4617. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Rudman, Kenneth J can be contacted via phone (401) 737-5449.Contact Information
Primary practice address
35 Veterans Memorial Dr
Warwick RI 02886-4617
Phone: (401) 737-5449
Fax: (401) 732-3695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 1976 | Rhode Island |
Profile Details
| NPI number | 1013028372 |
|---|---|
| LBN Legal business name | Rudman, Kenneth J |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Mar 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013028372 | NPPES |
| Rhode Island | MEDICAID | KR00153 |
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