Individual
KEVIN JAMES LUDWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18 BROAD ST, JOHNSON CITY, NY 13790-2198
(607) 798-7117
Mailing address
416 COREY AVE, ENDWELL, NY 13760-3621
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
010851
NY
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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