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Contact Information

PAUL RUDD, REG DIETICIAN
307 E 12TH ST
BENTON, KY42025
 Phone: 270-527-1496
 Fax: 270-527-5321
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for PAUL RUDD · (Male)

NPI # 1831241611
Status Active
Credentials REG DIETICIAN
Entity Individual
Enumeration date 01/18/2007
Last updated 07/27/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # KY1534
  • KY Medicaid 20079018
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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