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John J Kudlak JR.

Pulmonary Disease

200 Patewood Dr Suite B300
Greenville , South Carolina 29615-3593

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Image

John J Kudlak JR.

Pulmonary Disease

200 Patewood Dr Suite B300
Greenville , South Carolina 29615-3593

(864) 797-6044

Write a Review Save Call

John J Kudlak JR.

Pulmonary Disease

200 Patewood Dr Suite B300
Greenville , South Carolina 29615-3593

(864) 797-6044 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pulmonary Disease

Languages spoken

  • English

Location

200 Patewood Dr Suite B300 Greenville , South Carolina 29615-3593

First Address

  • John J Kudlak JR.
  • 1 Independence Pt Suite 212
  • Greenville, SC
  • Zip : 29615-4545
  • Phone : (864) 797-6044

Second Address

  • John J Kudlak JR.
  • 200 Patewood Dr Suite B300
  • Greenville, SC
  • Zip : 29615-3593
  • Fax : (864) 454-4205
  • Phone : (864) 454-4200

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FAQs


Where did John J Kudlak JR. attend graduate school?

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Where did John J Kudlak JR. do his residency?

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Where did John J Kudlak JR. do his fellowship?

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Is John J Kudlak JR. board certified?

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What type of doctor is John J Kudlak JR.

Pulmonary Disease

In what state does John J Kudlak JR. practice in?

South Carolina

Where is John J Kudlak JR.’s practice located?

200 Patewood Dr Suite B300 , Greenville, South Carolina, 29615-3593

What is John J Kudlak JR.’s gender?

Male

Is John J Kudlak JR. a sole practitioner?

No

Is John J Kudlak JR. accepting new patients?

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What languages does John J Kudlak JR. speak?

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Does John J Kudlak JR. accept insurance?

Yes, John J Kudlak JR. accepts insurance

Does John J Kudlak JR. offers telemedicine?

John J Kudlak JR. has not indicated if he offers telemedicine

What is John J Kudlak JR.’s professional license number?

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What is John J Kudlak JR.’s NPI number?

1023064847

Does John J Kudlak JR. have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207RP1001X Pulmonary Disease 714 SC

National Provider Identifier

NPI 1023064847
Provider Name John J Kudlak JR.
First Address Greenville, SC 29615-4545
Second Address Greenville, SC 29615-3593
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 25/05/2006
Last Update Date 10/09/2013

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
007147 (05) SC
H84294 (02) SC
P00265774 RR MEDICARE (01) SC
P00801525 RAILROAD MEDICARE (01) SC

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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