Individual
KENNETH FLUDD SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1113 HEALTHWAY DR, SALISBURY, MD 21804-4470
(410) 822-5007
(410) 822-5569
Mailing address
1113 HEALTHWAY DR, SALISBURY, MD 21804-4470
(410) 334-6961
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X
—
MD
Enumeration date
04/03/2019
Last updated
04/03/2019
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