Individual
KATHY MARGARET RUDISILL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
731 5TH ST SW, HICKORY, NC 28602-3235
(828) 322-5915
(828) 345-0387
Mailing address
731 5TH ST SW, HICKORY, NC 28602-3235
(828) 322-5915
(828) 345-0387
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101388
NC
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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