Mandela Rudd, RD, LD, LDE

NPI #1861186595 in Mayfield, Kentucky

Provider Information

NPI Number: 1861186595
Entity Type: Individual
Name: Mandela Rudd, RD, LD, LDE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD, LD, LDE
Enumeration Date: Jun 6, 2023
Last Updated: Jun 6, 2023

Practice Location

Address: 1310 JEFF DAVIS RD
City: Mayfield
State: Kentucky
ZIP Code: 42066-4901
Phone: (270) 227-3132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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