IndividualActive
Kevin Ludwig
NPI 1104425859 · Pediatric Rehabilitation Medicine Physician · Johnson City, NY
Provider details
- NPI number
- 1104425859
- Entity type
- Individual
- Primary specialty
- Pediatric Rehabilitation Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 010851 (NY)
Mailing address
416 Corey Ave
Endwell, NY 13760-3621
Registry dates
- Enumerated
- 2020-10-23
- Last updated
- 2020-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.