Provider Demographics
NPI:1679830319
Name:KUDEL, RHONDA (RN)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:KUDEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 2ND AVE
Mailing Address - Street 2:APT #15H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-2504
Mailing Address - Country:US
Mailing Address - Phone:718-852-5552
Mailing Address - Fax:
Practice Address - Street 1:444 2ND AVE
Practice Address - Street 2:APT #15H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-2504
Practice Address - Country:US
Practice Address - Phone:718-852-5552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-19
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY576628163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse