Individual
BENJAMIN PATRICK TUDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPHT, AEMT
Contact information
Practice address
1873 HONEY SPRING PLACE, LEXINGTON, KY 40502
(859) 533-9481
Mailing address
600 W WALNUT ST, DANVILLE, KY 40422-1309
(859) 533-9481
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
2175794276
KY
183700000X
Pharmacy Technician
00019910PT
KY
247200000X
Other Technician
—
—
Other
Enumeration date
09/23/2009
Last updated
08/06/2011
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