Individual
RUDY A. KACHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7900 W JEFFERSON BLVD STE 201, FORT WAYNE, IN 46804-4128
(260) 432-2297
(260) 434-6420
Mailing address
7900 W JEFFERSON BLVD STE 201, FORT WAYNE, IN 46804-4128
(260) 432-2297
(260) 434-6420
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01019778A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128909
—
OH
05
—
100096190
—
IN
01
—
140001923
RR MEDICARE
IN
05
—
2745832
—
MI
Enumeration date
06/30/2005
Last updated
08/14/2013
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