Individual
LOUIS GERALD MUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
720 E 2ND AVE, STE 300, BOWLING GREEN, KY 42101
(270) 843-5037
(270) 796-2140
Mailing address
720 E 2ND AVE, STE 300, BOWLING GREEN, KY 42101
(270) 843-5037
(270) 796-2140
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
29954
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64299548
—
KY
Enumeration date
09/21/2006
Last updated
07/08/2007
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