Individual
TIM J KUDLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
215 E JACKSON BLVD, SUITE B, SPEARFISH, SD 57783-2176
(605) 722-6880
(605) 722-6889
Mailing address
215 E JACKSON BLVD, SUITE B, SPEARFISH, SD 57783-2176
(605) 722-6880
(605) 722-6889
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0542
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041172
BLUE CROSS BLUE SHIELD SD
SD
05
—
5831434
—
SD
Enumeration date
01/31/2007
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us