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Individual

MRS. RACHEL L TUDOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1 SAINT JOSEPH DR, LEXINGTON, KY 40504-3742
(859) 313-1176
Mailing address
3409 DERBY LANDING CIR, LEXINGTON, KY 40513-1171
(517) 515-9462

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
PA1578
KY
363A00000X
Physician Assistant
Primary

Other

Enumeration date
08/24/2010
Last updated
11/12/2014
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