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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760487672 NPPES
Kentucky MEDICAID 95003299

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