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Individual
MRS. ANNAKA SHEA RUDD
Active
Individual
MRS. ANNAKA SHEA RUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3087
KY
363AM0700X
Medical Physician Assistant
PA3087
KY
363AS0400X
Surgical Physician Assistant
PA3087
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Enumeration date
03/10/2022
Last updated
07/06/2026
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