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KERITH STERN RUDNICKI MD NPI 1578635389


NPI Information

NPI: 1578635389
Provider Name: KERITH STERN RUDNICKI, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1875 CENTURY BLVD, N.E.
SUITE 150
ATLANTA, GA
ZIP 30345
Phone: (404) 633-4595
Get Directions

Kerith Stern Rudnicki, MD is a pediatrics in Atlanta, GA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Kerith Stern Rudnicki, MD NPI is 1578635389. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1875 CENTURY BLVD, N.E.
SUITE 150
ATLANTA, GA
ZIP 30345
Phone: (404) 633-4595

The enumeration date for this NPI number is 11/15/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsME0069453FLORIDANo
2208000000XPediatrics58919GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G63093MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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