Jeffrey Mudd, MD

Pediatrics Physician · Paducah, KY

Individual Active NPI

NPI number 1518952480

Practice location

2605 Kentucky Ave
DRS Bldg 3 Suite 501
Paducah, KY 42003-3800
Phone
(270) 744-9600
Fax
(270) 744-0834

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NPI record

NPI
1518952480
Entity type
Individual (Type 1)
Enumeration date
September 15, 2005
Last updated
December 6, 2020
Certified
December 6, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 30516 KY

About Dr. Mudd

Jeffrey Mudd, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 2605 Kentucky Ave, DRS Bldg 3 Suite 501, Paducah, KY 42003-3800. The NPI number 1518952480 was assigned on September 15, 2005 and the record was last updated on December 6, 2020.

Dr. Mudd lists a license in the registry: #30516 (KY) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jeffrey Mudd, MD?

The NPI number is 1518952480.

What is the phone number of Dr. Mudd?

The phone number listed for the practice location is (270) 744-9600.

Where is Dr. Mudd located?

2605 Kentucky Ave, DRS Bldg 3 Suite 501, Paducah, KY 42003-3800.

What is the taxonomy code for Dr. Mudd?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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