Individual
DR. EVERETT KIRK LUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2017 JEFFERSON ST SW, ROANOKE, VA 24014-2419
(540) 981-8025
(540) 853-0511
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5352
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101222348
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010106834
—
VA
Enumeration date
03/14/2006
Last updated
07/14/2023
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