Individual
DR. PAUL EDWARD KUDELKO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
353 NEW SHACKLE ISLAND RD, SUITE 300C, HENDERSONVILLE, TN 37075-2379
(615) 824-0043
(615) 822-1690
Mailing address
353 NEW SHACKLE ISLAND RD, SUITE 300C, HENDERSONVILLE, TN 37075-2379
(615) 824-0043
(615) 822-1690
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
DO 2430
TN
207RI0011X
Interventional Cardiology Physician
DO 2430
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1530417
—
TN
Enumeration date
10/14/2005
Last updated
02/01/2022
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