Individual
DR. MICHAEL KARL KUDUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 ROSE ST # H405, LEXINGTON, KY 40536-7001
(859) 218-2919
(859) 257-1632
Mailing address
800 ROSE ST # H404, LEXINGTON, KY 40536-0001
(859) 218-2919
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
34354
KY
208M00000X
Hospitalist Physician
Primary
34354
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64343544
—
KY
Enumeration date
11/28/2006
Last updated
07/21/2022
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