Individual provider · Type 1 NPI

Jordan Kudlak

Critical Care Medicine Registered Nurse · Jacksonville, FL

NPI number 1013573369 Active

Practice location

14550 Old Saint Augustine Rd
Jacksonville, FL 32258-2460

Mailing address

1306 Brighton Ave
Myrtle Beach, SC 29588-5411

Other practice locations

  • 171 Ashley Ave, Charleston, SC 29425-8908 · (843) 792-2300
  • 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 · (843) 692-1000

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse Primary 163WC0200X238832 (SC)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1013573369

Jordan Kudlak's National Provider Identifier is 1013573369, issued on May 13, 2019. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Jacksonville, FL. The record was last updated on May 13, 2019.