Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 2010022626 | MO |
Y | 222Z00000X | Podiatrist | 2010022626 | MO |
N | 213ES0103X | Foot & Ankle Surgery | 12-00389 | KS |
NPI | 1063677284 |
---|---|
Provider Name | Dr. Kirsten Sue Paulsrud |
First Address | Hutchinson, KS 67502-1131 |
Second Address | Hutchinson, KS 67502-1131 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2008 |
Last Update Date | 20/08/2021 |