CARMON R RUDOLPH

LOUISVILLE, KY
NPI1851517676
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KY  5750)
Enumeration Date2007-04-18
Last Update Date2007-07-08
Business Address
-- CARMON R RUDOLPH DMD
139 SAINT MATTHEWS AVE
LOUISVILLE, KY 40207-3117
Phone number: 502-895-3774
Mailing Address
-- CARMON R RUDOLPH DMD
6708 HARRODS VIEW CIR
PROSPECT, KY 40059-9473
Phone number: 502-228-3068