NPI 1861186595

Mandela Rudd, RDLDLDE

Practitioner Registered Dietitian Mayfield, KY

Practice location

Address: 1310 Jeff Davis Rd, Mayfield, KY 42066-4901
Phone: (270) 227-3132

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 121242 (KY)

Other Dietitian, Registered providers in Kentucky →

Registry record

NPI: 1861186595
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jun 2023
Record last updated: 6 Jun 2023

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.