Sarah Ellsworth Dudley, PA-C
Physician Assistant in Kettering, OH. Individual provider (NPI-1).
NPI number1124599451
StatusActive
Last updated in NPPESApr 6, 2022
Details
- NPI
- 1124599451
- Entity type
- Individual (NPI-1)
- Name
- Sarah Ellsworth Dudley
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 16, 2018
- Certification date
- Apr 6, 2022
- Last updated
- Apr 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
3700 Southern Blvd Ste 300Kettering, OH 45429-1265
Phone 937-643-9299 · Fax 937-643-2343
Mailing address
3170 Kettering Blvd Bldg B3Moraine, OH 45439-1924
Phone 937-991-3188 · Fax 937-223-9811
Other practice locations
30 E Apple St Ste 5254
Dayton, OH 45409
Dayton, OH 45409
Phone 937-208-4200 · Fax 937-208-2678
30 E Apple St Ste 5254a
Dayton, OH 45409-2939
Dayton, OH 45409-2939
Phone 937-208-4200 · Fax 937-208-4205
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