Individual
DR. JAKE JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-6680
(270) 825-6682
Mailing address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-6680
(270) 825-6682
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R6622
KY
390200000X
Student in an Organized Health Care Education/Training Program
R6622
KY
Other
Enumeration date
08/27/2014
Last updated
04/17/2025
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