Provider Demographics
NPI:1720671910
Name:MARKLE-CUDE, KATHRYN LEE
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:LEE
Last Name:MARKLE-CUDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2903 CLIFFWYNDE TRCE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-2763
Mailing Address - Country:US
Mailing Address - Phone:170-464-1373
Mailing Address - Fax:
Practice Address - Street 1:2903 CLIFFWYNDE TRCE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-2763
Practice Address - Country:US
Practice Address - Phone:170-464-1373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes132700000XDietary & Nutritional Service ProvidersDietary Manager