Individual
KENNETH LEE MUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MSC, BS
Contact information
Practice address
1081 EASTERN PKWY, LOUISVILLE, KY 40217-1559
(502) 996-0787
(502) 890-2857
Mailing address
1081 EASTERN PKWY, LOUISVILLE, KY 40217-1559
(502) 996-0787
(502) 890-2857
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
IP0977
KY
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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