Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kenneth Rudnicki

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588281828

Mr. Kenneth Rudnicki is a Student in an Organized Health Care Education/Training Program in Valley Village, California. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

12501 Chandler Blvd Ste 102
Valley Village, CA 91607-1955
Phone: (818) 821-6012
Fax: (818) 821-6014
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1588281828
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 2, 2020
Last updated in NPPESJuly 2, 2020
Certification dateJuly 2, 2020

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