Glenn Rudolph, D.M.D

NPI 1033482260 · on the registry since 2012 · sole proprietor

Practice

Address: 3707 Chamberlain Ln
Suite 103
Louisville, KY 40241
Phone: (502) 412-2222
Organisation at this address: Metro Providers, Pllc
Dr Paul J Constante Dc Psc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 122300000X
122300000X
Also registered as: 122300000X
Licence states on file: AL, KY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-07-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky