John J Kudlak JR.
Pulmonary Disease
200 Patewood Dr Suite B300
Greenville
, South Carolina 29615-3593
John J Kudlak JR.
Pulmonary Disease
200 Patewood Dr Suite B300
Greenville
, South Carolina 29615-3593
(864) 797-6044
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About
Features
Specialties
- Pulmonary Disease
Languages spoken
- English
Location
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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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)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.