| Doctor Name: | REGAN J KUDLATA |
| NPI Number: | 1023148293 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN FNP |
| License Number: | RN135173 NP |
| Business Practice Address: | 3400 Old Milton Pkwy # C Ste 190 Alpharetta, GA - 300053707 |
| Business Phone Number: | 4048320300 |
| Business Fax Number: | |
| Mailing Address: | 1800 Hill Chase, ALPHARETTA |
| State: | GA |
| Postal Code: | 300224464 |
| Phone Number: | 7703609838 |
| Fax Number: | |
| NPI Enumeration Date: | 03/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN135173 NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |