Rudy Max Ketchie in Statesville - General Practice
Rudy Max Ketchie - NPI 1619912912
Rudy Max Ketchie is a General Practice in Statesville, North Carolina. Rudy Max Ketchie practices all healthcare services and medical treatments related to General Practice. The NPI Number for Rudy Max Ketchie is 1619912912. The last update date is 2021-11-05.
Rudy Max Ketchie's current location address is 1316 Davie Ave Ste B, Statesville, North Carolina. You can contact this provider via phone number 7048732141 and fax number 7048732110. The mailing address for Rudy Max Ketchie is 1316 Davie Ave Ste B, Statesville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rudy Max Ketchie |
|---|---|
| Address | 1316 Davie Ave Ste B, Statesville, North Carolina |
| Phone Number | 7048732141 |
| Fax Number | 7048732110 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1619912912 |
|---|---|
| Provider Enumeration Date | 2006-06-19 |
| Last Updated Date | 2021-11-05 |
Provider Mailing Address Detail
| Address | 1316 Davie Ave Ste B |
|---|---|
| City | Statesville |
| State | North Carolina (NC) |
| Post Code | 286773561 |
| Phone Number | 7048732141 |
| Fax Number | 7048732110 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3467 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code assigned to Rudy Max Ketchie by the Centers for Medicare & Medicaid Services?
The Rudy Max Ketchie has been issued the NPI (National Provider Identifier) 1619912912, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Rudy Max Ketchie's facilities are geographically located?
The facilities of Rudy Max Ketchie are physically situated at the following location: 1316 Davie Ave Ste B, Statesville, NC, 286773561.
What is Rudy Max Ketchie's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Rudy Max Ketchie is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
When did Rudy Max Ketchie receive its 1619912912 assignment?
The Rudy Max Ketchie was assigned its 1619912912 on 2006-06-19, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Rudy Max Ketchie, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Rudy Max Ketchie, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-11-05.