| Rudemiller Management, Llc | |
|
3800 Ridgeway Dr Homewood AL 35209-5506 | |
| (205) 868-2000 | |
| Not Available |
| Full Name | Rudemiller Management, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3800 Ridgeway Dr, Homewood, Alabama |
| Authorized Official Name and Position | Kyle Rudemiller (PHYSICIAN) |
| Authorized Official Contact | 2566552088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rudemiller Management, Llc Po Box 104 Shannon AL 35142-0104 Ph: () - | Rudemiller Management, Llc 3800 Ridgeway Dr Homewood AL 35209-5506 Ph: (205) 868-2000 |
| NPI Number | 1144777301 |
|---|---|
| Provider Enumeration Date | 09/06/2016 |
| Last Update Date | 09/06/2016 |
| Medicare PECOS PAC ID | 6709174154 |
|---|---|
| Medicare Enrollment ID | O20161018001100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144777301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kyle J Rudemiller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306136692 PECOS PAC ID: 7517118102 Enrollment ID: I20121107000480 |
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