# MICHAEL D LUDLOW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1043289663
- **Gender:** Man
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3004829 | KY | Yes |

## Other

- **Enumeration date:** 03/16/2006
- **Last updated:** 07/18/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000522691 | BCBS- CUMBERLAND CLINIC | KY |
| 05 | — | 78017001 | — | KY |