Most Relevant Information
Provider Data
| NPI Number: | 1003316100 |
| Provider Name: | KATHERINE GAYLE RUDOLPH |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 26308 |
Most Important Dates
| Enumeration Date: | 02/15/2018 |
| Last Updated: | 03/17/2018 |
Provider Practice Location
115 PIONEER TRCE
FLEMINGSBURG
KY
410419665
Practice Location Phone/Fax
| Phone: | 6068452131 |
| Fax: |
Provider Mailing Location
148 TOWNSHIP ROAD 208
IRONTON
OH
456388745
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |