Individual
MR. KENNETH EARL RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 LAKESIDE DR, LYNCHBURG, VA 24501-3116
(434) 363-7219
Mailing address
1600 LAKESIDE DR, LYNCHBURG, VA 24501-3116
(434) 363-7219
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
62252
TX
1041C0700X
Clinical Social Worker
0904018643
VA
1041C0700X
Clinical Social Worker
Primary
62252
TX
Other
Enumeration date
07/11/2018
Last updated
03/16/2026
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