Provider Demographics
NPI:1578833901
Name:JUDD, KAREN M (PHARMD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:JUDD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 RIVERS EDGE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-7956
Mailing Address - Country:US
Mailing Address - Phone:859-519-0826
Mailing Address - Fax:859-266-8868
Practice Address - Street 1:344 RIVERS EDGE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-7956
Practice Address - Country:US
Practice Address - Phone:859-519-0826
Practice Address - Fax:859-266-8868
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-02
Last Update Date:2012-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY014494183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist