Individual
TAYLOR MICHAEL MUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 PARK ST, BOWLING GREEN, KY 42101-1795
(270) 745-1000
Mailing address
1563 POSEY HILL RD, MOUNT JULIET, TN 37122-6033
(615) 351-0185
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
183514
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
3012665
KY
Other
Enumeration date
08/20/2018
Last updated
09/09/2018
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