Mrudu Herbert
Adolescent Medicine
740 S Limestone Ste L404
Lexington
, Kentucky 40536-0293
Mrudu Herbert
Adolescent Medicine
740 S Limestone Ste L404
Lexington
, Kentucky 40536-0293
(859) 323-6183
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Mrudu Herbert
- 800 Rose St Rm Mn-118
- Lexington, KY
- Zip : 40536-0293
- Fax : (859) 323-6183
- Phone : (859) 323-6183
Second Address
- Mrudu Herbert
- 740 S Limestone Ste L404
- Lexington, KY
- Zip : 40536-0293
- Fax : (859) 323-3795
- Phone : (859) 323-5643
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 55491 | KY |
National Provider Identifier
| NPI | 1144725052 |
|---|---|
| Provider Name | Mrudu Herbert |
| First Address | Lexington, KY 40536-0293 |
| Second Address | Lexington, KY 40536-0293 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/03/2018 |
| Last Update Date | 24/08/2021 |
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.