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Contact Information

CHRISTOPHER L JOHNSRUDE, MD
411 E CHESTNUT ST # 5A
LOUISVILLE, KY40202-1713
 Phone: 502-588-7450
 Fax: 502-588-7728
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CHRISTOPHER L JOHNSRUDE · (Male)

NPI # 1336144401
Status Active
Credentials MD
Entity Individual
Enumeration date 06/16/2005
Last updated 02/10/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 37041
  • IN Medicaid 200114610A
  • KY Medicaid 64047947
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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