Individual
NATHANIEL RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4448 MANSLICK RD, LOUISVILLE, KY 40216-3981
(502) 539-9872
Mailing address
1728 YOUNGLAND AVE, LOUISVILLE, KY 40216-5136
(502) 539-9872
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
KY
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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