Individual
MICHAEL D LUDLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
911 BYPASS RD, PIKEVILLE, KY 41501-1689
(606) 218-3500
Mailing address
PO BOX 2917, PIKEVILLE, KY 41502-2917
(606) 218-3500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3004829
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000522691
BCBS- CUMBERLAND CLINIC
KY
05
—
78017001
—
KY
Enumeration date
03/16/2006
Last updated
07/18/2012
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