NPI 1104961952

Angela M Mudd, MSW

Practitioner Specialist Lexington, KY

Practice location

Address: 3150 Custer Dr Suite 203, Lexington, KY 40517-4010
Phone: (859) 271-7788
Fax: (859) 273-3306

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 364 (KY)

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Registry record

NPI: 1104961952
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.