Individual
DR. KEVIN P RUDNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10945 N PORT WASHINGTON RD STE 201, MEQUON, WI 53092-5078
(262) 292-3151
(858) 546-3900
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
39053
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100148043
—
WI
Enumeration date
08/18/2006
Last updated
05/12/2026
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