Individual
KATHY DIANE RUDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 WOODSPRINGS RD, JONESBORO, AR 72401-0936
(870) 268-6962
Mailing address
1901 WOODSPRINGS RD, JONESBORO, AR 72401-0936
(870) 268-6962
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A03377
AR
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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