Individual
MRUDU HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
740 S LIMESTONE STE L404, LEXINGTON, KY 40536-0293
(859) 323-5643
(859) 323-3795
Mailing address
800 ROSE ST RM MN-118, LEXINGTON, KY 40536-0293
(859) 323-6183
(859) 323-6183
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
55491
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2018
Last updated
08/24/2021
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