| Doctor Name: | DOROTHY MARIE DUDLEY |
| NPI Number: | 1144504689 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 3007170 |
| Business Practice Address: | 95 Kingswood Dr Campbellsville, KY - 427189604 |
| Business Phone Number: | 2707892788 |
| Business Fax Number: | 5023689820 |
| Mailing Address: | 6801 Dixie Hwy, Suite 130 LOUISVILLE |
| State: | KY |
| Postal Code: | 402583913 |
| Phone Number: | 2707892788 |
| Fax Number: | 5023689820 |
| NPI Enumeration Date: | 10/03/2011 |
| NPI Last Update Date: | 03/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3007170 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |