Individual
DR. KENNETH WALKER RUDD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH, DABFM
Contact information
Practice address
289 COUNTY RD, WINDSOR, VT 05089-9000
(802) 674-6711
(802) 674-7155
Mailing address
289 COUNTY RD, WINDSOR, VT 05089-9000
(802) 674-6711
(802) 674-7155
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
042.0012952
VT
207P00000X
Emergency Medicine Physician
042414
CT
207P00000X
Emergency Medicine Physician
15514
NH
207Q00000X
Family Medicine Physician
042414
CT
207Q00000X
Family Medicine Physician
Primary
15514
NH
207Q00000X
Family Medicine Physician
25MA07905200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020400
—
VT
05
—
32001365
—
NH
Enumeration date
10/23/2008
Last updated
01/05/2025
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