Tudor, Julie L.
Tudor, Julie L. is an individual health care provider with primary practice located at 100 N Eagle Creek Dr Lce-1, Lexington KY 40509-1805. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Tudor, Julie L. can be contacted via phone (859) 258-5102.Contact Information
Primary practice address
100 N Eagle Creek Dr Lce-1
Lexington KY 40509-1805
Phone: (859) 258-5102
Fax: (859) 258-5177
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA661 | Kentucky |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA661 | Kentucky |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA661 | Kentucky |
Profile Details
NPI number | 1760487672 |
---|---|
LBN Legal business name | Tudor, Julie L. |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2005 |
Last updated | Apr 3rd, 2013 - about 12 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 | 1760487672 | NPPES |
Kentucky | MEDICAID | 95003299 |
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