Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI Number | 1457967499 |
| LBN Legal business name | RPG HEALTH |
| Authorized official | KELSIE JUDD - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/16/2020 |
| Last updated | 01/08/2026 - About 5 months ago |
| Identifiers | n/a |
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