Rudolph, Karen Parks

Rudolph, Karen Parks is an individual health care provider with primary practice located at 2108 E 3Rd Street , Chattanooga TN 37404-1622. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as her primary health care specialty. Rudolph, Karen Parks can be contacted via phone (423) 267-0466.

Contact Information

Primary practice address
2108 E 3Rd Street Chattanooga TN 37404-1622
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 59639 Tennessee

Profile Details

NPI number 1578838629
LBN Legal business name Rudolph, Karen Parks
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2012
Last updated Aug 1st, 2019 - about 6 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 1578838629 NPPES
Tennessee Other 59639 TN MD

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