Individual
KATHLEEN ELIZABETH DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNP
Contact information
Practice address
120 SISTER PIERRE DR STE 407, TOWSON, MD 21204-7536
(410) 769-8801
Mailing address
120 SISTER PIERRE DR STE 407, TOWSON, MD 21204-7536
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R174386
MD
363LP0200X
Pediatric Nurse Practitioner
SP016535
PA
Other
Enumeration date
09/01/2016
Last updated
09/01/2023
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