Doctor Name: | MRS. SHERRY R RUDNICK |
NPI Number: | 1720266851 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | 4641P |
Business Practice Address: | 104 Mohawks St Brownsville, KY - 42210 |
Business Phone Number: | 2705972155 |
Business Fax Number: | 2705973811 |
Mailing Address: | 104 Mohawks St, BROWNSVILLE |
State: | KY |
Postal Code: | 42210 |
Phone Number: | 2705972155 |
Fax Number: | 2705973811 |
NPI Enumeration Date: | 01/31/2008 |
NPI Last Update Date: | 01/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | 4641P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |