IndividualActive
Angela Mudd, M.S.W.
NPI 1104961952 · Specialist · Lexington, KY
Provider details
- NPI number
- 1104961952
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.S.W.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 364 (KY)
Specialties & taxonomies
Other Service Providers
Practice location
3150 Custer Dr
Suite 203
Lexington, KY 40517-4010
Phone: (859) 271-7788
Fax: (859) 273-3306
Approximate (ZIP-level) locationGet directions
Mailing address
3150 Custer Dr
Lexington, KY 40517-4010
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.