Individual
KEVIN LUDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-2670
(253) 477-0800
Mailing address
5415 CRESTVIEW LOOP NE, OLYMPIA, WA 98516-2230
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
03/12/2024
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