Individual
MR. BART A RUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN-CRNA
Contact information
Practice address
1001 SAINT JOSEPH LN, ANESTHESIA PROGRAM, LONDON, KY 40741-8345
(606) 330-6000
(606) 330-7825
Mailing address
100 E LIBERTY ST, SUITE 800, LOUISVILLE, KY 40202-1434
(606) 330-6000
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1080380
KY
367500000X
Certified Registered Nurse Anesthetist
3119A
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
RN1080380/ARNP3119A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000375720
ANTHEM BCBS KY
KY
01
—
1223572
CHA HEALTH
KY
05
—
74002726
—
KY
01
—
P00255461
RAILROAD MEDICARE PIN
KY
Enumeration date
05/19/2006
Last updated
01/12/2015
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