Individual
MEGAN SUZANNE RUDINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
617 23RD ST STE 400, ASHLAND, KY 41101
(606) 408-2820
(606) 326-0235
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
03753
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111316
—
OH
05
—
7100359910
—
KY
01
—
K167080
MEDICARE PTAN
KY
Enumeration date
02/08/2010
Last updated
03/06/2022
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